Multifocal Extensive Spinal Tuberculosis Accompanying Isolated Involvement of Posterior Elements: A Case Report
Journal of Korean Society of Spine Surgery
;
: 183-187, 2016.
Artículo
en Inglés
| WPRIM
| ID: wpr-55580
ABSTRACT
STUDY DESIGN:
A case report.OBJECTIVES:
To report a rare case of atypical spinal tuberculosis. SUMMARY OF LITERATURE REVIEW In spinal tuberculosis, non-contiguous multifocal involvement and isolated involvement of posterior elements of the spine have been considered atypical features. There have been a few reports of each of these atypical features but no reports have described spinal tuberculosis with both of these atypical features. MATERIALS ANDMETHODS:
A 39-year-old man presented with back pain and progressive weakness of both lower extremities. He was diagnosed with spinal tuberculosis from the cervical to sacral spine, showing multifocal non-contiguous involvement with multiple abscesses on magnetic resonance imaging. Notably, in the thoracic spine area, isolated involvement of posterior elements was found with an epidural abscess compressing the spinal cord. He underwent a total laminectomy of the thoracic spine and multiple abscesses were drained with pigtail catheter insertions into the cervical, thoracic, and lumbar spine.RESULTS:
At the 8-month follow-up, the patient's neurologic status had improved to Frankel Grade D, and the patient was able to walk with the support of a walker. At the 3-year follow-up, the patient had recovered completely without any neurologic deficit.CONCLUSIONS:
Since atypical spinal tuberculosis may show various patterns, examination of the entire spine is important for early diagnosis. Treatment should be provided properly from minimally invasive procedures to open surgery depending on the extent of structural instability and neurologic deficit.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Médula Espinal
/
Columna Vertebral
/
Tuberculosis de la Columna Vertebral
/
Andadores
/
Imagen por Resonancia Magnética
/
Estudios de Seguimiento
/
Dolor de Espalda
/
Absceso Epidural
/
Extremidad Inferior
/
Descompresión
Tipo de estudio:
Estudio diagnóstico
/
Estudio observacional
/
Estudio pronóstico
/
Estudio de tamizaje
Límite:
Adulto
/
Humanos
Idioma:
Inglés
Revista:
Journal of Korean Society of Spine Surgery
Año:
2016
Tipo del documento:
Artículo
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