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Case Report
 
Spinal tuberculomas mimicking spinal dural arteriovenous fistula: A case report
Jyoti Sureka1, Varsha Mary Khalkho2, Binita Riya Chacko3
1Associate Professor, Department of Radiology, Christian Medical College and Hospital, Vellore, Tamil Nadu, India.
2Tutor, Department of Radiology, Christian Medical College and Hospital, Vellore, Tamil Nadu, India.
3Assistant Professor, Department of Radiology, Christian Medical College and Hospital, Vellore, Tamil Nadu, India.

doi:10.5348/ijcri-2013-01-253-CR-7

Address correspondence to:
Jyoti Sureka
Vellore, Tamil Nadu - 632004
India

Phone: +919894584953
Fax: +9104162232035
Email: drjyoticmch@rediffmail.com

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How to cite this article:
Sureka J, Khalkho VM, Chacko BR. Spinal tuberculomas mimicking spinal dural arteriovenous fistula: A case report. International Journal of Case Reports and Images 2013;4(1):28–31.


Abstract
Introduction: Tuberculosis is a very common disease in developing countries and has been found to affect almost all the parts of the body. We report the case of a patient who had spinal cord tuberculomas without evidence of symptoms of systemic tuberculosis. The lesions were located at the surface of lower thoracic cord and mimicked a spinal-dural arteriovenous fistula (SDAVF) on magnetic resonance imaging (MRI).
Case Report: The patient was 45-year-old man who presented with a history of progressive paraparesis with a clinical suspicion of intramedullary tumor. First diagnosis was made as SDAVF on MRI. Then he underwent diagnostic and therapeutic digital substraction angiogram which was negative for the same. Again MRI was reviewed by a senior radiologist and a final diagnosis of spinal cord pial surface tuberculomas was made, confirmed by cerebrospinal fluid analysis and treated by appropriate anti-tubercular therapy.
Conclusion: Tuberculosis can mimic a number of disease entitiles. It is important to be familiar with various a typical radiological presentations of tuberculosis.

Keywords: Tuberculoma, Spinal dural, Arteriovenous malformation


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Author Contributions
Jyoti Sureka – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Varsha Mary Khalkho – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Binita Riya Chacko – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© Jyoti Sureka et al. 2013; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)