Abstract
Tuberculosis is an absolutely controllable infectious disease. At the same time, prevention, diagnosis and treatment of tuberculosis in Kazakhstan are absolutely free and fully financed by the state. Central nervous system damage is often accompanied by severe neurological deficit. Untimely diagnosis and treatment, as well as unfavorable prognosis of central nervous system tuberculosis determine the constant interest in this problem. This work reflects a rare lesion of the central nervous system on the background of disseminated pulmonary tuberculosis, with severe neurological deficit. This article describes a case after 17 years after pulmonary tuberculosis, the process spread to the central nervous system and manifested severe neurologic deficits. On admission to the neurosurgical department, the patient had inferior paraparesis and neurogenic pelvic dysfunction. Timely surgical treatment with the use of modern technologies, such as intraoperative neuromonitoring, made it possible to avoid complications in the form of irreversible paralysis of the patient. The neurological deficit regressed significantly on the background of the combination of surgical and conservative treatment.Keywords: extrapulmonary tuberculosis, tuberculoma, combined treatment.