case_images: PMC3401660_01
case_images: Contrast-enhanced Sagittal T1-weighted MRI showing intramedullary abscess with rim enhancement extending from D6 to conus level
case_images: JPN-7-61-g001.jpg
case_images: PMC3401660_01_JPN-7-61-g001.jpg
case_images: F1
case_images: T1, heterogeneously hyperintense on T2WI. T1 fat suppressed Gadolinium-enhanced sequences revealed peripheral enhancement with central hypointense areas from D6 vertebral level to conus medullaris consistent with inflammatory collection [Figures 1 and 2].
case_images: Sagittal T2-weighted sequence showing expansion of cord and dilated central canal from cervicomedullary junction to C7 with hyperintense signals from intramedullary portion of cord signifying liquefaction from D1 to D6 level
case_images: JPN-7-61-g002.jpg
case_images: PMC3401660_01_JPN-7-61-g002.jpg
case_images: F2
case_images: T1, heterogeneously hyperintense on T2WI. T1 fat suppressed Gadolinium-enhanced sequences revealed peripheral enhancement with central hypointense areas from D6 vertebral level to conus medullaris consistent with inflammatory collection [Figures 1 and 2].
case_images: H and E stain shows characteristic tubercular lesion depicting epithelioid cell granulomas along with Langhans giant cell surrounded by rim of lymphocytes and central focal necrosis (40x)
case_images: JPN-7-61-g003.jpg
case_images: PMC3401660_01_JPN-7-61-g003.jpg
case_images: F3
case_images: It also showed significant syrinx formation from D1 to D6 vertebral level with evidence of altered signal intensity in cord parenchyma [Figure 3].
case_images: Ziehl-Neelsen staining showing AFB-positive bacilli (100x)
case_images: JPN-7-61-g004.jpg
case_images: PMC3401660_01_JPN-7-61-g004.jpg
case_images: F4
case_images: Histopathological examination showed the presence of chronic inflammatory cells with caseating epithelioid cell granuloma and ZN staining was also performed on sections which showed AFB positive bacilli [Figures 4 and 5].