Résumé
Tuberculous osteitis of clivus is rare. Its diagnosis is difficult because of the rarity of the site and the non-specific nature of the disease. Management consists of confirmation of diagnosis by biopsy and chemotherapy with anti-tubercular drugs. Meningitis may complicate the clinical course, increase morbidity and mortality.
Sujets)
Adulte , Fosse crânienne postérieure/microbiologie , Femelle , Humains , Imagerie par résonance magnétique , Ostéite/microbiologie , Tomodensitométrie , Tuberculose ostéoarticulaire/anatomopathologieRésumé
A 14 year old girl presented with a 6-month history of headaches and visual blurring. CT showed a right tentorial enhancing lesion. Angiogram showed no enhancement. Histopathological examination of the excised material was consistent with tuberculoma. The presentation of such unusual intracranial tuberculoma is reported and the literature reviewed on the subject.
Sujets)
Adolescent , Antituberculeux/usage thérapeutique , Encéphalopathies/traitement médicamenteux , Association de médicaments , Femelle , Humains , Isoniazide/usage thérapeutique , Pyrazinamide/usage thérapeutique , Rifampicine/usage thérapeutique , Tomodensitométrie , Tuberculome/traitement médicamenteuxRésumé
Ossified ligamentum flavum is increasingly appreciated as an important cause of thoracic myeloradiculopathy. Fifteen patients with age ranging from 30-61 years were studied. Fourteen presented with spastic paraparesis, and radiculopathy was the only complaint in one patient. Routine skiagrams and myelograms showed non-specific changes. Baseline CT and CT myelogram, however, documented the ossification of ligamentum flavum comprehensively. MRI was done in three patients. Multiple levels of the disease were seen in two cases. Four patients had ossified posterior longitudinal ligament. Thickened ligamentum flavum should be considered as an important cause of thoracic cord compression.
Sujets)
Adulte , Femelle , Humains , Ligament jaune/anatomopathologie , Mâle , Adulte d'âge moyen , Ossification du ligament longitudinal postérieur/complications , Ossification hétérotopique/complications , Paraplégie/étiologie , Syndrome de compression médullaire/étiologieRésumé
Facial nerve neurinomas are rare. The tumours arising from the geniculate ganglion may grow anteriorly and superiorly and present as a mass in the middle cranial fossa. Only a few cases of facial nerve neurinomas presenting as middle cranial fossa mass have so far been reported. These tumours present with either long standing or intermittent facial palsy along with cerebellopontine angle syndrome.