Tuberculosis vertebral cervical simulando un absceso periamigdalino

Mariño‐Sánchez, Franklin; Rioja, Elena Castellano; Rusiecka, Michalina; Alobid, Isam

doi:10.1016/j.otorri.2010.07.007

Cited by 1 publication

(3 citation statements)

References 4 publications

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“…The lesions are best evaluated by computer tomography and/or MRI. They show the destruction of the tooth of the odontoid and the lateral masses of the atlas, and suffusion in soft tissues [5,6,[8][9][10]. Pott's disease can severely damage the odontoid apophysis and be responsible for a dislocation and an atlanto-axial instability.…”

Section: Discussionmentioning

confidence: 99%

“…In these cases, surgery performed for both diagnosis (biopsy) and restoration, and to maintain alignment and stability is a good factor of evolutionary prognosis compared to medical therapy alone [1,2,6,10]. This is achieved either through a transarticular fixation C1-C2 [10][11][12], or an occipital-cervical arthrodesis [2,5]. However, in this environment where the technical level is insufficient or missing, recourse to medical treatment alone is almost systematic.…”

Section: Discussionmentioning

confidence: 99%

“…They range from minor damage to bone structural destruction responsible for a severe spinal instability, making the gravity of this location. On the morphological level, the computer tomography, and better, magnetic resonance imaging (MRI), describe these lesions and their distribution in soft tissue [4][5][6]. The biopsy and bacteriological or histological analysis show evidence of tuberculosis infection [7].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

C1-C2 Pott’s Disease, a Rare Location of Spine Tuberculosis

Ntsiba¹,

N'soundhat²,

Kidédé³

2013

OJRA

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The authors report a new case of spine tuberculosis of C1-C2 occurred in a 58-year-old negative HIV patient that was responsible of inflammatory cervical pain with multidirectional stiffness and complicated by spastic quadriplegia. The diagnosis was made on the basis of presumptive elements, including cervical spinal CT scan, which showed atlanto-axial subluxation (C1-C2) with destruction of the odontoid apophysis and lateral mass of the atlas and favorable evolution under specific antibiotic treatment with ethambutol, isoniazid, rifampicin, pyrazinamide and immobilization with brace cast, despite the absence of bacteriological and anatomo-pathological evidence of certainty. The evolution has been favorable, with the disappearance of cervical pain, progressive motor recovery and resumption of autonomy of walking.

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Section: Discussionmentioning

confidence: 99%