CONCLUSIONS:
Intradural extramedullary (IDEM) tuberculoma is a rare manifestation of
central nervous system (CNS) tuberculosis, often arising as a result of
paradoxical reactions to antitubercular medication. When patients on
antitubercular therapy develop new-onset neurological deficits
indicative of compressive myelopathy, IDEM tuberculoma should be
considered as one of the potential causes. Early and accurate diagnosis,
along with timely initiation of appropriate medical or surgical
interventions, is crucial to prevent irreversible dysfunction. Excision
plays a pivotal role in the treatment of this uncommon condition.