RSS-Feed abonnieren
DOI: 10.4103/2277-9167.94373
Cranio-vertebral junction tuberculosis
Verantwortlicher Herausgeber dieser Rubrik:
Publikationsverlauf
Publikationsdatum:
18. Januar 2017 (online)

Abstract
There are variety of diseases which affect the region of craniovertebral junction, including congenital, malignant lesions, traumatic and infective/inflammatory lesions. CVJ tuberculosis is an extremely rare condition, accounting for 0.3 to 1% of all cases of spinal TB. Few case series have been reported in the literature about this rare condition, but there appears to be lack of consensus even on basic issues like whether to undertake surgical intervention or prefer a conservative approach in cases of CVJ TB. These cases can present with a myriad of symptoms and one needs to have a high index of suspicion for early diagnosis. Early diagnosis and treatment is very important for a favorable outcome. In this article, we have tried to review the available literature and also share our experience about this condition so as to have a better understanding of the disease process and have a more rational treatment protocol.
-
References
- 1 Wackenheim A. Radiologic diagnosis of congenital forms, intermittent forms and progressive forms of stenosis of the spinal canal at the level of the atlas. Acta Radiol Diagn 1969; 9: 759-768
- 2 Desai SS. Early diagnosis of spinal tuberculosis by MRI. J Bone Joint Surg Br 1994; 76: 863-869
- 3 Edwards RJ, David KM, Crockard HA. Management of tuberculomas of the cranio-vertebral junction. Br J Neurosurg 2000; 14: 19-22
- 4 Lal AP, Rajshekhar V, Chandy MJ. Management strategies in tuberculous atlanto-axial dislocation. Br J Neurosurg 1992; 6: 529-535
- 5 Tuli SM. Results of treatment of spinal tuberculosis by “midde path” regime. J Bone Joint Surg Br 1975; 57: 13-23
- 6 Kumar R, Srivastava AK, Tiwari RK. Surgical Management of Pott’s disease of the spine in paediatric patients: A single surgeon’s experience of 8 years in a tertiary care center. J Paed Neurosci 2011; 6: 101-108
- 7 Behari S, Nayak SR, Bhargava V, Banerji D, Chhabra DK, Jain VK. Craniocervical tuberculosis: Protocol of surgical management. Neurosurgery 2003; 52: 72-81
- 8 Shukla D, Mongia S, Devi BI, Chandramouli BA, Das BS. Management of cranio-vertebral junction tuberculosis. Surg Neurol 2005; 63: 101-106
- 9 Sinha A, Singh AK, Gupta V, Singh D, Takayasu M, Yoshida J. Surgical Management and outcome of tuberculous atlanto-axial dislocation: A 15 years experience. Neurosurgery 2003; 52: 331-339
- 10 Kotil K, Dalbayrak S, Alan S. Craniovertebral junction Pott’s disease. Br J Neurosurg 2004; 18: 49-55
- 11 Gupta SK, Mohindra S, Sharma BS, Gupta R, Chhabra R, Mukherjee KK. et al Tuberculosis of the craniovertebral junction: Is surgery necessary?. Neurosurgery 2006; 58: 1144-1150
- 12 Krishnan A, Patkar D, Patankar T, Shah J, Prasad S, Bunting T. et al Craniovertebral junction tuberculosis: A review of 29 cases. J Comp Assist Tomogr 2001; 25: 171-176
- 13 Kanaan IU, Ellis M, Safi T, Al Kawi MZ, Coates R. Craniocervical Junction Tuberculosis: A rare but dangerous disease. Surg Neurol 1999; 51: 21-26
- 14 Lee DK, Cho KT, Im SH, Hong SK. Craniovertebral junction tuberculosis with Atlantoaxial dislocation: A case report with review of literature. J Korean Neurosurg 2007; 42: 406-409
- 15 Rezai AR, Lee M, Cooper PR, Errico TJ, Koslow M. Modern Management of spinal tuberculosis. Neurosurgery 1995; 36: 87-98
- 16 Lifeso R. Atlanto-axial tuberculosis in adults. J Bone Joint Surg Br 1987; 69: 183-187
- 17 Kalra SK, Kumar R, Mahapatra AK. Tubercular atlantoaxial dislocation in children: An institutional experience. J Neurosurg 2007; 107 (02) suppl 111-118