Tuberculous Spondylitis of Craniovertebral Junction of a 70 Years Old Female: Case Report and Review of the Literature
Journal Title: International Journal of Neurology and Neurosurgery - Year 2018, Vol 10, Issue 3
Abstract
Craniovertebral junction tuberculosis is rare, accounting for 0.3 to 1% of all tuberculous spondylitis cases. MR imaging is the modality of choice to detect bone involvement, abscess formation, pre and paravertebral collection, sub ligamentous spreading of the pus and to differentiate from other lesions affecting the craniovertebral junction. It is also helpful to determine the modality of treatment and monitor the efficacy of treatment. Surgical treatment of patients with craniovertebral junction tuberculosis has been associated with highmortality rate ranging up to 10% and recurrence rate ranging up to 20%, conservative treatment is the modality of choice for most of the cases. We present a case of craniovertebral junction Mycobacterium tuberculosis infection diagnosed with clinical, serological and radiological evidence. A Philadelphia collar was applied for external immobilization and antituberculous treatment with rifampicin, isoniazid, pyrazinamide and ethambutol was initiated. After completion of the initiation phase, the patient wasneurologically improved. MRI showed marked resolution of the craniovertebral mass. Antituberculous treatment was advised to continue for next 15 months.
Authors and Affiliations
Shahidul Islam Khan
Keywords
Related Articles
- EP ID EP562360
- DOI 10.21088/i6nns.0975.0223.10318.20
- Views 55
- Downloads 0
Paediatric Craniopharyngiomas: Our Experience of 27 Cases
Introduction: Craniopharyngiomas are benign neoplasms of the sellar/suprasellar region. Management of these lesions always poses a challenge to neurosurgeons. Methods: Between 2012 and 2016, a total of 27 paediatric pati...
Fractional Anisotropy and Apparent Diffusion Coefficient values on Diffusor Tensor Imaging in Parkinson’s Disease: A case-control study
Introduction: Recent evidence is shedding insights into the functional alterations in the sensorimotor, visual and basal ganglia networks in Parkinson’s Disease (PD) patients. We evaluated the Functional Anisotropy (FA)...
Patent Foramen Ovale (PFO) and Association with Cryptogenic Stroke in Young Patients
Patent foramen ovale (PFO) is a flaplike opening between the atrial septa primum and secundum at the location of the fossa ovalis that persists after age 1 year. With increasing evidence being found that PFO is the culpr...
Clinical Features and Outcome of Refractory Status Epilepticus Patients in an Eastern Indian Tertiary Care Hospital
Introduction: Refractory status epilepticus is defined as the status epilepticus which is refractory to two intravenous anti-epileptic drugs, one of which is a benzodiazepine. RSE occurs in 23–43%, this progression being...
Management of Tuberculosis Spine: Our Institute Experience
Background: Tuberculosis is a very common disease affecting the impoverished and is a source of morbidity causing significant burden to the society. Involvement of the spine is fairly common and it causes significant dis...