A 14-year-old female patient was admitted with progressive weakness of both the lower limbs of 2 weeks duration with abrupt inability to use both the limbs. She had been diagnosed as a case of tuberculosis meningitis (TBM), 2 months prior to this admission, and was on antituberculous treatment (ATT). Neurologic examination revealed 0/5 motor power in the lower limbs with a sensory level at T2. Magnetic resonance imaging (MRI) of spine showed a circumscribed intradural extramedullary mass at the level of vertebra T2 and T3 [Figure 1]. She underwent emergency T1-T3 laminectomy and total excision of the mass. On opening the dura, there was a grayish, moderately vascular granulomatous lesion in the intradural extramedullary plane, which could not be easily separated from the thoracic cord, and perilesional edema and congestion was noted too [Figure 2]. Pathological examination confirmed a tuberculous granuloma [Figure 3]. Postoperatively, she received intravenous pulse methylprednisolone therapy for 5 days and ATT was continued. At 3-months follow-up, she could walk with assistance.
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