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- W2758160716 abstract "Le tuberculome du cône médullaire est une présentation rarissime de la tuberculose humaine en général et de l’atteinte par cette maladie du système nerveux central en particulier. Seule une douzaine de cas ont été décrits dans la littérature. Nous rapportons le cas d’un homme de 69 ans qui présentait initialement un syndrome de la queue de cheval dans un contexte fébrile. Le diagnostic a été possible grâce à l’IRM qui a mis en évidence des lésions nécrotiques avec prises de contraste médullaires mais aussi cérébrales. On y retrouve associés une atteinte miliaire pulmonaire et un syndrome de sécrétion inappropriée d’ADH. L’évolution a été favorable sous traitement antituberculeux associé initialement à une corticothérapie. Tuberculosis affecting the central nervous system is well recognized, but only rarely localizes to the medullary conus. We report the case of a 69 year old man who was admitted to our unit with cauda equina syndrome. The MRI demonstrated ring-enhanced necrotizing lesions involving the medullary conus, the cervical cord and the brain. His chest CT scan showed a miliary infiltrate. The clinical presentation was associated with an inappropriate secretion of antidiuretic hormone. Quadruple antituberculous therapy was initiated, with corticosteroids in the initial phase of the treatment. Evolution was favorable, and follow-up MRI imaging demonstrated complete resolution of the cervical cord and brain lesions." @default.
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- W2758160716 date "2011-05-01" @default.
- W2758160716 modified "2023-10-16" @default.
- W2758160716 title "Tuberculome du cône médullaire : à propos d’un cas et revue de la littérature" @default.
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- W2758160716 doi "https://doi.org/10.1016/j.rmr.2011.03.011" @default.
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