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©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Dec 26, 2020; 8(24): 6353-6357
Published online Dec 26, 2020. doi: 10.12998/wjcc.v8.i24.6353
Published online Dec 26, 2020. doi: 10.12998/wjcc.v8.i24.6353
Paraplegia from spinal intramedullary tuberculosis: A case report
Li-Mei Qu, Di Wu, Liang Guo, Department of Pathology, The First Hospital of Jilin University, Changchun 130021, Jilin Province, China
Jin-Lu Yu, Department of Neurosurgery, The First Hospital of Jilin University, Changchun 130021, Jilin Province, China
Author contributions: Yu JL designed the research study and checked the manuscript; Wu D took the images; Guo L collected the documents; Qu LM analyzed the data and wrote the manuscript; All authors have read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare no conflicts of interest regarding this work.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jin-Lu Yu, MD, MSc, PhD, Doctor, Professor, Department of Neurosurgery, The First Hospital of Jilin University, No. 1 Xinmin Avenue, Changchun 130021, Jilin Province, China. jlyu@jlu.edu.cn
Received: July 3, 2020
Peer-review started: July 3, 2020
First decision: September 24, 2020
Revised: September 27, 2020
Accepted: October 27, 2020
Article in press: October 27, 2020
Published online: December 26, 2020
Peer-review started: July 3, 2020
First decision: September 24, 2020
Revised: September 27, 2020
Accepted: October 27, 2020
Article in press: October 27, 2020
Published online: December 26, 2020
Core Tip
Core Tip: Tuberculosis mostly attacks the lungs, and extrapulmonary tuberculosis involving the central nervous system is rare. However, we should still pay attention to these cases in order to timely diagnose and properly treat. We report a case of a young male patient diagnosed with tuberculous meningitis. His disease progressed and involved the spinal cord, leading to paraplegia and urine/fecal incontinence. Unfortunately, after surgical resection of the spinal intramedullary lesion, the paraplegia failed to recover, and only urine/fecal sensation recovered. As a result, the patient remained in a wheelchair for ten years after the operation.