Intra-arterial monitoring of critically ill patients in ambulances.

rapidly advancing spinal cord compression.4 A normal cell count in the C.S.F., an increase in protein, and a more or less complete block on myelography are to be expected.5 According to Arseni and Samitca4 it is difficult, if not impossible, to differentiate between extramedullary and intramedullary tuberculoma before surgery as the radiological picture in both is identical. To the best of our knowledge this is the first case described showing the true intramedullary nature of a tuberculoma before surgery. It draws attention to the unusual presentations of tuberculosis in the immigrant population and adds another cause to the radiological list of intramedullary spinal lesion.