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CC BY-NC-ND 4.0 · Asian J Neurosurg 2020; 15(01): 136-139
DOI: 10.4103/ajns.AJNS_345_19
Case Report

Extend of skipped multifocal noncontiguous spinal tuberculosis beyond imagination: A rare case report and literature review

Dhiraj Sonawane
Department of Orthopaedic and Spine, Grant Medical College, Sir J. J. Group of Hospitals, Mumbai, Maharashtra
,
Bipul Garg
Department of Orthopaedic and Spine, Grant Medical College, Sir J. J. Group of Hospitals, Mumbai, Maharashtra
,
Kishor Jadhav
Department of Orthopaedic and Spine, Grant Medical College, Sir J. J. Group of Hospitals, Mumbai, Maharashtra
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Skipped multifocal extensive spinal tuberculosis involving the whole spine is very rare, which presents with atypical presentations and imaging features. So far, only five cases have been reported. Most of these patients have only two noncontiguous lesions. We are reporting a case of an 18-year-old boy with noncontiguous multifocal spinal tuberculosis involving cervical, thoracic, thoracolumbar, and lumbar segments. The patient was treated with antituberculous drug therapy and was operated for thoracolumbar spinal lesion. He made an excellent recovery. The possibility of tuberculosis is considered for any skip lesions involving the spine cautiously. Careful physical examination, trials of antitubercular therapy, and using the whole spine magnetic resonance imaging routinely also play an important role in the diagnosis and treatment of this disease. In patients with noncontiguous spinal involvement, there is a high percentage of requirement of surgical treatment due to fulminant behavior of the disease in these patients.

Key-words:

Multifocal - Pott's disease - spinal instrumentation - spinal tuberculosis

Financial support and sponsorship

Nil.




Publication History

Received: 26 November 2019

Accepted: 10 January 2020

Article published online:
16 August 2022

© 2020. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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