Download PDF
Cent Eur Neurosurg 2005; 66(2): 95-97
DOI: 10.1055/s-2004-836227
Case Report

© Georg Thieme Verlag Stuttgart · New York

Tuberculosis of the Craniocervical Junction: A Case Report

Kraniozervikal-TuberkuloseF. Torun1 , H. Tuna1 , M. Bozkurt1 , E. Dusunceli2 , H. Deda1
  • 1Department of Neurosurgery, Ankara University, Faculty of Medicine, Sihhiye, Ankara, Turkey
  • 2Department of Radiology, Ankara University, Faculty of Medicine, Sihhiye, Ankara, Turkey
Further Information

Publication History

Publication Date:
22 April 2005 (online)

    Permissions and Reprints

Abstract

Craniocervical tuberculosis (TB) is very rare. Despite the use of magnetic resonance imaging (MRI) and cranial tomography (CT), diagnosis of craniocervical tuberculosis is frequently difficult. In this study, we present a craniocervical tuberculosis abscess case which demonstrates the role of transoral surgery for both diagnosis and treatment.

Zusammenfassung

Kraniozervikal-Tuberkulose (TB) ist eine seltene Erkrankung. Trotz des Einsatzes der Magnetresonanztomographie (MRI) und der Computer-Tomographie (CT) ist es schwer, bei Kraniozervikal-Tuberkulose die Diagnose zu stellen. Wir stellen hier einen kraniozervikalen Tuberkulose-Abszess dar und diskutieren die Rolle der transoralen Chirurgie in der Diagnose und Therapie.

Key words

Craniocervical junction - transoral surgery - tuberculosis abscess

Schlüsselwörter

Kraniozervikal - Transoral-Chirurgie - Tuberkulose - Abszess

References

  • 1 Alvarez S, McCabe W R. Extrapulmonary tuberculosis revisited: a review of experience at Boston City and other hospitals.  Medicine. 1984;  6 25-55
    PubMedGoogle Scholar
  • 2 Arabi K M, Sebai M W, Chakaki M. Evaluation of radiological investigations in spinal tuberculosis.  Int Orth. 1992;  16 165-167
    PubMedGoogle Scholar
  • 3 Behari S, Nayak S, Bhargava V. Craniocervical tuberculosis: protocol of surgical management.  Neurosurgery. 2003;  52 78-81
    PubMedGoogle Scholar
  • 4 Dhammi K, Singh S, Jain A K. Hemiplegic/monoplegic presentation of cervical spine (C1-C2) tuberculosis.  Eur Spine J. 2001;  10 540-544
    CrossrefPubMedGoogle Scholar
  • 5 Edward R J, David K M, Crockard H A. Management of tuberculomas of the craniovertebral junction.  Br J Neurosurg. 2000;  14 19-22
    CrossrefPubMedGoogle Scholar
  • 6 Fang D, Leong J CY, Fang H SY. Tuberculosis of the upper cervical spine.  J Bone Joint Surg. 1983;  65 47-50
    PubMedGoogle Scholar
  • 7 Gorse G J, Pais M J, Cesario T C. Tuberculous spondylitis: a report of six cases and review of the literature.  Medicine. 1983;  62 178-193
    PubMedGoogle Scholar
  • 8 Gupta R K, Agarwal P, Rastogi H. Problems in distinguishing spinal tuberculosis from neoplasia on MRI.  Neuroradiology. 1996;  38 97-104
    CrossrefPubMedGoogle Scholar
  • 9 Imad U K, Michael E, Tarıg S. Craniocervical junction tuberculosis: a rare but dangerous disease.  Surg Neurology. 1999;  51 21-26
    PubMedGoogle Scholar
  • 10 Knutti O, Kaech D L. Postoperative high cervical quadriplegia after transoral biopsy of a paravertebral tuberculous abscess with epidural extension: complete resolution after decompressive laminectomy and high-dose methylprednisolone.  Acta Neurochir. 1997;  139 158-159
    PubMedGoogle Scholar
  • 11 Lal A P, Rajshkhar V, Chandy M J. Management strategies in tuberculous atlantoaxial dislocation.  Br J Neurosurg. 1992;  6 529-535
    CrossrefPubMedGoogle Scholar
  • 12 Pandya S K. Tuberculous atlanto-axial dislocation.  Neurol India. 1971;  19 116-121
    PubMedGoogle Scholar
  • 13 Richards I M, White A M, O'Sullivan M M. Unilateral palsy of the hypoglossal nerve in a patient with tuberculosis of the first cervical vertebra.  Br J Rheumatol. 1989;  28 540-542
    PubMedGoogle Scholar
  • 14 Tuli S M. Tuberculosis of the craniovertebral region.  Clin Orthop. 1974;  104 209-212
    PubMedGoogle Scholar
  • 15 Wang L X. Peroral debridement for treatment of tuberculosis of the atlas and axis.  Chin J Orthop. 1981;  1 207-209
    PubMedGoogle Scholar

Dr. Fuat Torun

Department of Neurosurgery · Selcuk University · Faculty of Medicine

42080 Akyokus, Konya

Turkey

Phone: 90/3 32/2 23 61 50

Fax: 90/3 32/2 23 61 81

Email: fuatorun@hotmail.com

      >