Abstract

ALARCON-OLAVE, Camila et al. Epidural tuberculoma mimicking Guillain Barre Syndrome: a case presentation. Medicas UIS [online]. 2016, vol.29, n.2, pp.155-159. ISSN 0121-0319.  https://doi.org/10.18273/revmed.v29n2-2016013.

The central nervous system is one of the most affected focus in extrapulmonary tuberculosis, however, spinal epidural tuberculoma is considered very unusual. We present a clinical report of a four years old patient who presented with clinical symptoms of a progressive quadriparesis. The cerebroespinal fluid examination showed protein-cell dissociation, and the diagnosis of Guillain Barré syndrome was made. However, because it called the attention the appearance of meningeal signs, a magnetic resonance imaging was performed, and evidenced a compressive lesion in the cervicodorsal level. It was explored by neurosurgery, finding an epidural lesion studied by cultures and polymerase chain reaction. Both reported positive results for Mycobacterium tuberculosis. The anti-tuberculosis treatment was started and a progressive clinical improvement was observed with recuperation of the gait after the surgical procedure.MÉD.UIS. 2016;29(2):155-9.

Keywords : Tuberculosis; Central Nervous System; Tuberculoma.

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