Craniovertebral Junction Tuberculosis with Atlantoaxial Dislocation: A Case Report and Review of the Literature
Journal of Korean Neurosurgical Society
;
: 406-409, 2007.
Artigo
em Inglês
| WPRIM
| ID: wpr-178334
ABSTRACT
Craniovertebral junction (CVJ) tuberculosis is a rare disease, potentially causing severe instability and neurological deficits. The authors present a case of CVJ tuberculosis with atlantoaxial dislocation and retropharyngeal abscess in a 28-year-old man with neck pain and quadriparesis. Radiological evaluations showed a widespread extradural lesion around the clivus, C1, and C2. Two stage operations with transoral decompression and posterior occipitocervical fusion were performed. The pathological findings confirmed the diagnosis of tuberculosis. Treatment options in CVJ tuberculosis are controversial without well-defined guidelines. But radical operation (anterior decompression and posterior fusion and fixation) is necessary in patient with neurological deficit due to cord compression, extensive bone destruction, and instability or dislocation. The diagnosis and treatment options are discussed.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Quadriplegia
/
Tuberculose
/
Abscesso Retrofaríngeo
/
Cervicalgia
/
Fossa Craniana Posterior
/
Descompressão
/
Doenças Raras
/
Diagnóstico
/
Luxações Articulares
Tipo de estudo:
Estudo diagnóstico
/
Guia de Prática Clínica
Limite:
Adulto
/
Humanos
Idioma:
Inglês
Revista:
Journal of Korean Neurosurgical Society
Ano de publicação:
2007
Tipo de documento:
Artigo
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