Intramedullary granuloma suggestive of tuberculoma.

Tuberculosis is still a major health problem in many parts of world, especially Asia, Africa and South America. The most common form of spinal intradural tuberculosis is meningitis and intramedullary tuberculomas are rare. According to Citow and Ammirati intramedullary tuberculomas are seen in two of 100 000 cases of tuberculosis and in two of 1000 cases of central nervous system tuberculosis. The ratio of intramedullary spinal to intracranial tuberculoma was found to be 1:42 in one major series.