Multifocal spinal tuberculosis associated with paraplegia
Journal Title: Journal of Horticulture Letters - Year 2003, Vol 21, Issue 2
Abstract
Spine tuberculosis affecting multiple vertebrae at different levels is a rare disease. This case report describes a condition of multiple spine tuberculosis of vertebral bodies number T6, T12 and L1 in 53-year-old man. The patient presented backache for two months that followed by paraplegia due to compression of the spinal cord at the level of T12. This was caused by tuberculous necrotic material. Plain radiographs revealed signs of spine tuberculosis. Myelographs demonstrated the spinal cord compression at the level of T12. In addition, the operative material was used to confirm the diagnosis of spine tuberculosis by showing positive culture of Mycobacterium tuberculosis and signs of tuberculosis on histopathological examination. A laminectomy was made to ease the compression and a combination of anti-tuberculous chemotherapy was given to the patient for one year. Gradual recovery was initiated within five weeks after operation that was assisted by physiotherapy. Good improvement was gained after six months whereas complete recovery was obtained after one year. It is recommended, therefore, when spine tuberculosis is detected in certain vertebra, x-ray of other ones should be made to exclude the possibility of other spine infection.
Authors and Affiliations
Haider Mousa
Multifocal spinal tuberculosis associated with paraplegia
Spine tuberculosis affecting multiple vertebrae at different levels is a rare disease. This case report describes a condition of multiple spine tuberculosis of vertebral bodies number T6, T12 and L1 in 53-year-old man....