A rare case of intramedullary tuberculoma: Complete resolution after medical treatment and role of magnetic resonance imaging in diagnosis and follow-up

Intramedullary tuberculoma (IMT) is a rare form of spinal tuberculosis. IMT has an incidence of 2 cases per 2000 cases of central nervous system tuberculosis. Magnetic resonance imaging (MRI) can be helpful for diagnosing IMT at an early stage and it is also very useful in follow-up. Three stages of IMT have been described in MRI based on the evolution of the lesion. Medical therapy is the mainstay of treatment for IMT though there are surgical options for select patients. Here, we describe a patient with dorsal IMT who improved clinically as well as radiologically with antituberculous treatment and steroids.