Post infectious granuloma masquerading intradural extramedullary spinal tumor

Background: There are several non-neoplastic lesions which mimic intradural extramedullary spinal cord neoplasm in their radiographic and clinical presentation. Intradural granulomas that form within the dura mater, is outermost protective layer surrounding cord. Variety of infections, such as Tuberculosis or Fungal infections (histoplasmosis coccidioidomycosis), inflammatory conditions, sarcoidosis, can cause to mater. Case description: The authors report a very rare case non-specific lesion unknown origin, with no signs infection at present. However, patient had history fever backache 3 months back for he was treated periphery. He has recovered from but gradually worsened. Conclusions: tumor be various difficult interpret. Preoperative MRI does not allow certain diagnosis because these have similar signal intensity pattern. Specific tests infective pathologies useful diagnosis, histological examination essential establishing diagnosis.