Craniovertebral junction tuberculosis with Atlantoaxial dislocation: A case report and review of the literature

被引:9
作者
Lee, Dae Kyu [1 ]
Cho, Keun-Tae [1 ]
Im, So-Hyang [1 ]
Hong, Seung-Koan [1 ]
机构
[1] Dongguk Univ Int Hosp, Dept Neurosurg, Goyang 410773, South Korea
关键词
tuberculosis; craniovertebral junction; atlantoaxial dislocation; retropharyngeal abscess;
D O I
10.3340/jkns.2007.42.5.406
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
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.
引用
收藏
页码:406 / 409
页数:4
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