Bipul Borthakur1, Sourav Patowary2
Pott's spine may be associated with neurological deficit due to presence of inflammatory oedema, extradural abscess or sequestra. However, there may be unusual rare presentation of Pott’s spine as extradural granuloma without involvement of bone which may present as spinal tumour syndrome.
MATERIALS AND METHODS
We present a case of paraparesis of two weeks’ duration in a 13-year-old female. MRI showed extensive extradural SOL from C7 to D5 with mass effect over the cord with no abnormality of vertebrae. Excisional biopsy was done after D2 to D4 laminectomy, thereby relieving cord compression. Challenges in the case being skeletal immaturity, lesion being extensive, extent of laminectomy and the role of posterior fusion.
RESULT
Histopathology report diagnosed it to be tuberculous granuloma. ATT under DOTs, category 1, was started. Excellent functional recovery was noted.
CONCLUSION
In endemic country, granuloma must be kept as a possibility in case of spinal tumour syndrome. Though granuloma improves with ATT, decompression should be considered in case of neurological involvement.
