Extradural with intramural-extramedullary and intramedullary tuberculoma of the spine without bony involvement

Extradural with intradural-extramedullay and intramedullary spinal tuberculomas causeing spinal cord compression is an uncommon entity. We report a case of a 20-year-old female patient who was undergoing treatment for intracranial tuberculous infection with triple chemotherapy antituberculous regimen. One month later she presented to us with progressive paraparesis and MRI scan showed a dorsal intradural-extramedullary lesion. She underwent laminectomy and excision of the lesion. She was readmitted 2 weeks later with flaccid paraplegia, and MRI scan showed an intramedullary lesion extending from D3 -D7 level. This case is unusual in regard to the concurrent extradural with intradural-extramedullay and intramedullary with intracranial tuberculomas. Also interesting is the absence of bony involvement