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- W3047993917 abstract "Central nervous system (CNS) tuberculosis is a less common entity even in endemic countries like India. Involvement of spine is much less frequent than brain, but concurrent involvement of brain and spine by tuberculoma is rare. A 23-year-old female with paraparesis was diagnosed as having cervical ring enhancing lesion in MRI suggesting intramedullary tuberculoma along with long segment cervicodorsal edema. On brain screening she had multiple intracerebral tuberculomas without any evidence of tuberculosis elsewhere in the body. She was treated with a multidisciplinary approach including neurological management and neurorehabilitation, with remarkable clinical recovery. In presence of acute neurological deficit, early start of rehabilitation along with medical management can give outstanding results in terms of neuro-recovery and improvement of residual neurodeficits. Surgical intervention can be avoided in many cases. • Concurrent occurrence of intracerebral and cervical intramedullary tuberculomas is rare. Such lesions presenting as paraparesis, instead of quadripaeresis, is unique. • False localizing presentations in cervical intramedullary tuberculoma can be a diagnostic challenge to a physician. • Appropriate medical management and a well-designed neurorehabilitation program can benefit the patient immensely." @default.
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- W3047993917 date "2021-04-01" @default.
- W3047993917 modified "2023-09-28" @default.
- W3047993917 title "The ring in the neck-managing paraparesis in cervical intramedullary tuberculoma: Inputs from a neurorehabilitation desk" @default.
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- W3047993917 doi "https://doi.org/10.1016/j.ijtb.2020.08.001" @default.
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