Tuberculose sous-occipitale - 10/03/08
K. Ibahioin [1],
A. Ait Ben Ali [1],
M. Choukri [1],
A. Sami [1],
M. Achouri [1],
A. Ouboukhlik [1],
A. El Kamar [1],
A. El Azhari [1]
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Suboccipital tuberculosis : a case report |
Suboccipital tuberculosis is an uncommon localization of Pott's disease. The gravity results from the neurological and life threatening risk.
We report a case of suboccipital tuberculosis in a 22-year woman who survived. She was given an anti-tuberculosis antibiotic regimen due to pulmonary and pericardal involvement. The patient interrupted her treatment after four months and was admitted six months later for torticolis and spastic tetraplegia without sphincter disorders. Standard x-rays and MRI of the head confirmed suboccipital Pott's disease. Transcranial evacuation was performed and the patient was again given anti-tuberculosis antibiotics. The clinical course was favorable with definitive recovery 45 days later. The patient continued the antibiotic regimen for nine months. An orthopedic supporting device was worn for nine months.
The diagnosis of suboccipital tuberculosis can be confirmed on MRI. Appropriate treatment is a subject of debate between exclusive orthopedic or combined orthopedic and surgical treatment. Prognosis depends on the neurological deficit, early diagnosis and prompt treatment.
Keywords:
tuberculosis.
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atlas.
,
axis.
,
treatment.
Plan
© 2001 Elsevier Masson SAS. Tous droits réservés.
Vol 47 - N° 1
P. 66 - mars 2001 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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