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Archives de pédiatrie
Volume 14, n° 3
pages 266-269 (mars 2007)
Doi : 10.1016/j.arcped.2006.12.012
Received : 2 November 2005 ;  accepted : 19 December 2006
Tétraplégie récidivante chez une enfant de 11 ans présentant un mal de Pott cervical
Recurrent quadric paralysis in an 11-year-old girl with spinal tuberculosis
 

A.-B. Mpemba Loufoua-Lemay a, , B. Ndamba Bandzouzi b, E. Makosso c, F.-W. Etokabeka-Nkanta d, S. Nzingoula a
a Service de pédiatrie « grands enfants », CHU de Brazzaville, BP 32, Brazzaville, Congo 
b Service de neurologie, CHU de Brazzaville, BP 32, Brazzaville, Congo 
c Service de radiologie, CHU de Brazzaville, BP 32, Brazzaville, Congo 
d Service de pédiatrie nourrissons, CHU de Brazzaville, BP 32, Brazzaville, Congo 

Auteur correspondant.
Résumé

Les auteurs rapportent un cas de tétraplégie récidivante chez une fille de 11 ans porteuse d'une tuberculose cervicale et médiastinopulmonaire. Le diagnostic a été tardif. Malgré un traitement antituberculeux associé à une immobilisation par une minerve pendant 45 jours, une tétraplégie a été observée nécessitant une modification du traitement antituberculeux et l'adjonction d'une corticothérapie. La marche a été à nouveau possible. Au 8e mois de ce second traitement, l'enfant a présenté un nouvel épisode de tétraplégie secondaire à une chute de sa hauteur. Une récupération motrice a été observée au 3e mois.

The full text of this article is available in PDF format.
Abstract

The authors report a recurring quadric paralysis in a 11-year-old girl with cervical, pulmonary and mediastinal tuberculosis. The diagnosis was belated. After the first treatment with anti tuberculosis drugs and immobilization with a surgical collar, an improvement has been obtained; but at the 8th month of this treatment, a partial paralysis of superior members and total paralysis of inferior members appeared. A treatment with streptomycin, ethambutol, rifampicin, pyrazinamide, isoniazide, and prednisone was undertaken. The spontaneous motility was observed at 37 days of treatment. However, at the 8th months of this treatment, quadric paralysis happened again after a fall down. After immobilization with a new surgical collar and prednisone, the spontaneous motility came back again 3 months later.

The full text of this article is available in PDF format.

Mots clés : Tuberculose cervicale, Mal de Pott, Tétraplégie

Keywords : Cervical tuberculosis, Pott disease, Paralysis, Child




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