Spinal tuberculosis with circumferential involvement of two noncontiguous isolated vertebral levels: Case report

KULALI A., ÇObanoglu S., ÖZYILMAZ F.

Neurosurgery, cilt.35, sa.6, ss.1154-1158, 1994 (Scopus) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 35 Sayı: 6
  • Basım Tarihi: 1994
  • Doi Numarası: 10.1227/00006123-199412000-00022
  • Dergi Adı: Neurosurgery
  • Derginin Tarandığı İndeksler: Scopus
  • Sayfa Sayıları: ss.1154-1158
  • Anahtar Kelimeler: Circumferential spinal tuberculosis, Isolated vertebral level, Magnetic resonance imaging, Posterior decompression, Stabilization
  • Trakya Üniversitesi Adresli: Evet

Özet

WE PRESENT A case of a 16-year-old boy with an atypical form of spinal tuberculosis, which circumferentially involved two noncontiguous vertebral levels without destruction of the adjacent vertebral bodies and intervertebral discs. The lesions caused paraplegia and loss of sphincter control, and they were confined to a single vertebra at each site; the findings more closely mimicked spinal malignancies. There was no evidence of pulmonary or other extrapulmonary tuberculous disease. The patient was successfully treated both surgically and medically using posterior decompression and a stabilizing procedure in combination with postoperative antituberculous therapy. Magnetic resonance imaging played a major role in determining the extent of the disease and the type of surgical procedure and in monitoring adequate medical treatment. Copyright © by the Congress of Neurological Surgeons.