Surgical management of craniocervical junction tuberculosis with atlanto-axial dislocation – A case report and review of the literature

BACKGROUND: There are few guidelines on how to best manage craniovertebral junction (CVJ) tuberculosis (TB). Certainly, timely tissue diagnosis, immobilization of the neck, and decompression of CVJ with appropriate stabilization are the mainstays of treatment for TB at the CVJ. CASE DESCRIPTION: Thr...

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Autores principales: Amin, Md Rezaul, Rahman, Md Tauhidur, Hossain, A. B. M. Manwar, Quader, Tahsina, Islam, KM Tarikul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Scientific Scholar 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10629300/
https://www.ncbi.nlm.nih.gov/pubmed/37941610
http://dx.doi.org/10.25259/SNI_731_2023
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author Amin, Md Rezaul
Rahman, Md Tauhidur
Hossain, A. B. M. Manwar
Quader, Tahsina
Islam, KM Tarikul
author_facet Amin, Md Rezaul
Rahman, Md Tauhidur
Hossain, A. B. M. Manwar
Quader, Tahsina
Islam, KM Tarikul
author_sort Amin, Md Rezaul
collection PubMed
description BACKGROUND: There are few guidelines on how to best manage craniovertebral junction (CVJ) tuberculosis (TB). Certainly, timely tissue diagnosis, immobilization of the neck, and decompression of CVJ with appropriate stabilization are the mainstays of treatment for TB at the CVJ. CASE DESCRIPTION: Three patients, ages 16–68, presented with CVJ TB with atlanto-axial dislocation responsible for progressive quadriparesis/plegia. Based on X-rays, magnetic resonance, and computed tomography studies, patients underwent timely decompressions and fusions followed by antitubercular drug treatment. CONCLUSION: Early diagnosis, proper decompression with fusion, treated with anti-TB drug for proper period were keys to managing TB involving the craniocervical junction in these three patients.
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spelling pubmed-106293002023-11-08 Surgical management of craniocervical junction tuberculosis with atlanto-axial dislocation – A case report and review of the literature Amin, Md Rezaul Rahman, Md Tauhidur Hossain, A. B. M. Manwar Quader, Tahsina Islam, KM Tarikul Surg Neurol Int Case Report BACKGROUND: There are few guidelines on how to best manage craniovertebral junction (CVJ) tuberculosis (TB). Certainly, timely tissue diagnosis, immobilization of the neck, and decompression of CVJ with appropriate stabilization are the mainstays of treatment for TB at the CVJ. CASE DESCRIPTION: Three patients, ages 16–68, presented with CVJ TB with atlanto-axial dislocation responsible for progressive quadriparesis/plegia. Based on X-rays, magnetic resonance, and computed tomography studies, patients underwent timely decompressions and fusions followed by antitubercular drug treatment. CONCLUSION: Early diagnosis, proper decompression with fusion, treated with anti-TB drug for proper period were keys to managing TB involving the craniocervical junction in these three patients. Scientific Scholar 2023-10-06 /pmc/articles/PMC10629300/ /pubmed/37941610 http://dx.doi.org/10.25259/SNI_731_2023 Text en Copyright: © 2023 Surgical Neurology International https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Case Report
Amin, Md Rezaul
Rahman, Md Tauhidur
Hossain, A. B. M. Manwar
Quader, Tahsina
Islam, KM Tarikul
Surgical management of craniocervical junction tuberculosis with atlanto-axial dislocation – A case report and review of the literature
title Surgical management of craniocervical junction tuberculosis with atlanto-axial dislocation – A case report and review of the literature
title_full Surgical management of craniocervical junction tuberculosis with atlanto-axial dislocation – A case report and review of the literature
title_fullStr Surgical management of craniocervical junction tuberculosis with atlanto-axial dislocation – A case report and review of the literature
title_full_unstemmed Surgical management of craniocervical junction tuberculosis with atlanto-axial dislocation – A case report and review of the literature
title_short Surgical management of craniocervical junction tuberculosis with atlanto-axial dislocation – A case report and review of the literature
title_sort surgical management of craniocervical junction tuberculosis with atlanto-axial dislocation – a case report and review of the literature
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10629300/
https://www.ncbi.nlm.nih.gov/pubmed/37941610
http://dx.doi.org/10.25259/SNI_731_2023
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