Sindrome radicular por granuloma tuberculoso epidural: registro de caso

Plese, J. Pindaro Pereira; Elkis, Livia Cunha; Nogueira, Roberto Gomes; Barros, João Eliezer Ferri de; França, L. C. Mattosinho

doi:10.1590/S0004-282X1978000200010

Resumos

É relatado um caso de granuloma tuberculoso epidural lombar determinando uma síndrome radicular semelhante à observada em hérnias discais. O diagnnóstico só pode ser firmado durante e após a cirurgia. A descompressão cirúrgica com excisão do granuloma, associada ao tratamento específico, mostrou-se eficaz.

A case of tuberculous granuloma producing a radicular syndrome in a 58 year-old white male is reported. Excision of the granuloma and the administration of antituberculous therapy was followed by complete recovery.

J. Pindaro Pereira Plese^I; Livia Cunha Elkis^II; Roberto Gomes Nogueira^III; João Eliezer Ferri de Barros^IV; L. C. Mattosinho França^V

^INeurocirurgião. Grupo de Neurologia e Neurocirurgia do Hospital Central Sorocabana

^IINeuropediatra. Grupo de Neurologia e Neurocirurgia do Hospital Central Sorocabana

^IIINeurorradiologista. Grupo de Neurologia e Neurocirurgia do Hospital Central Sorocabana

^IVNeurologista Clinico. Grupo de Neurologia e Neurocirurgia do Hospital Central Sorocabana

^VPatologista. Grupo de Neurologia e Neurocirurgia do Hospital Central Sorocabana

RESUMO

É relatado um caso de granuloma tuberculoso epidural lombar determinando uma síndrome radicular semelhante à observada em hérnias discais. O diagnnóstico só pode ser firmado durante e após a cirurgia. A descompressão cirúrgica com excisão do granuloma, associada ao tratamento específico, mostrou-se eficaz.

SUMMARY

A case of tuberculous granuloma producing a radicular syndrome in a 58 year-old white male is reported. Excision of the granuloma and the administration of antituberculous therapy was followed by complete recovery.

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Trabalho do Grupo de Neurologia e Neurocirurgia do Hospital Central Sorocabana:

Hospital das Clínicas Faculdade de Medicina, Universidade de São Paulo Caixa Postal 3461 01000 São Paulo, SP Brasil.

1. ALVICK, I. Tuberculosis of the spine. Acta chir. scand. Supl. 141: 1949.
2. AUERBACH, O. & STOMMERMAN, M. The roentgen interpretations of the pathology in Pott's disease. Amer. J. Roent. 52:57. 1944.
3. BALAPARAMESWARA, RAO S.; DINAKAR, I. & SREENIVASA, RAO K. Extraosseous extradural tuberculous granuloma simulating a herniated lumbar disc. J. Neurosurg. 35:488, 1971.
4. BERRIS, H. Tuberculous spondylitis simulating herniated intervertebral disk. Neurology (Minneapolis) 4:710, 1954.
5. CHADDUCK, W. M. Intraspinal tuberculous abscess simulating lumbar disc disease. Virg. Med. Mon. 99:968, 1972.
6. COHN, B. N. E. Tuberculous spondylitis: a histologic study. Arch. Path. 32: 641, 1941.
7. DECKER, H. G.; SHAPIRO, S. W. & PORTER, H. R. Epidural tuberculous abscess simulating herniated lumbar intervertebral disk. Ann. Surg. 149:294, 1959.
8. KUO, C. & CHAO, C. Clinical and roentgenographic features of tuberculosis of the vertebral arch and its appendages. Clin. Med. J. 83:449, 1964.
9. REINA, A. Tuberculous epidural granuloma simulating a herniated lumbar disc. Surg. Neurol. 4:336, 1975
10. SOMERVILLE, E. W. & WILKINSON, M. C. Girdlestone's Tuberculosis of Bone and Joint. 3a. ed. Oxford Univ. Press, London, 1965 p. 77-134.

Sindrome radicular por granuloma tuberculoso epidural: registro de caso

Intraspinal tuberculous abscess simulating lumbar disc disease: a case report

Datas de Publicação

Publicação nesta coleção
27 Ago 2012
Data do Fascículo
Jun 1978

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. ALVICK, I. Tuberculosis of the spine. Acta chir. scand. Supl. 141: 1949.

[2] 2. AUERBACH, O. & STOMMERMAN, M. The roentgen interpretations of the pathology in Pott's disease. Amer. J. Roent. 52:57. 1944.

[3] 3. BALAPARAMESWARA, RAO S.; DINAKAR, I. & SREENIVASA, RAO K. Extraosseous extradural tuberculous granuloma simulating a herniated lumbar disc. J. Neurosurg. 35:488, 1971.

[4] 4. BERRIS, H. Tuberculous spondylitis simulating herniated intervertebral disk. Neurology (Minneapolis) 4:710, 1954.

[5] 5. CHADDUCK, W. M. Intraspinal tuberculous abscess simulating lumbar disc disease. Virg. Med. Mon. 99:968, 1972.

[6] 6. COHN, B. N. E. Tuberculous spondylitis: a histologic study. Arch. Path. 32: 641, 1941.

[7] 7. DECKER, H. G.; SHAPIRO, S. W. & PORTER, H. R. Epidural tuberculous abscess simulating herniated lumbar intervertebral disk. Ann. Surg. 149:294, 1959.

[8] 8. KUO, C. & CHAO, C. Clinical and roentgenographic features of tuberculosis of the vertebral arch and its appendages. Clin. Med. J. 83:449, 1964.

[9] 9. REINA, A. Tuberculous epidural granuloma simulating a herniated lumbar disc. Surg. Neurol. 4:336, 1975

[10] 10. SOMERVILLE, E. W. & WILKINSON, M. C. Girdlestone's Tuberculosis of Bone and Joint. 3a. ed. Oxford Univ. Press, London, 1965 p. 77-134.