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Atlanto-axial erosion as the presenting manifestation of systemic tuberculosis: a tricky diagnosis in western countries

Atlanto-axial erosion as the presenting manifestation of systemic tuberculosis: a tricky... Acta Neurol Belg (2014) 114:321–323 DOI 10.1007/s13760-013-0261-z LETTE R T O T HE EDI T OR Atlanto-axial erosion as the presenting manifestation of systemic tuberculosis: a tricky diagnosis in western countries • • Raffaele Nardone Frediano Tezzon • • Piergiorgio Lochner Eugen Trinka Francesco Brigo Received: 8 September 2013 / Accepted: 5 November 2013 / Published online: 19 November 2013 Belgian Neurological Society 2013 Dear Editor, Head and cervical spine MRI showed a bone erosion involving craniovertebral junction with pathological con- We describe a patient in whom erosive lesions of the atl- trast enhancement, indicative of an inflammatory pannus. anto-axial junction were the presenting manifestation of The atlanto-occipital joint space was bilaterally decreased, systemic tuberculosis. and the articular margins appeared to be irregular (Fig. 1a, A 65-year-old man presented with worsening neck and b). Laboratory tests revealed increased inflammatory occipital pain. His previous medical history was notable for parameters but were otherwise unremarkable. A thorax high blood pressure and prostatic hypertrophy, and he was computed tomography scan showed multiple nodular a heavy smoker. He has been suffering from cervicalgia for shadows (Fig. 1c). the past 4 years. A cervical magnetic resonance imaging The patient underwent occipitocervical fusion with (MRI) http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Acta Neurologica Belgica Springer Journals

Atlanto-axial erosion as the presenting manifestation of systemic tuberculosis: a tricky diagnosis in western countries

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Publisher
Springer Journals
Copyright
Copyright © 2013 by Belgian Neurological Society
Subject
Biomedicine; Neurosciences; Neurology; Neuroradiology; Medicine/Public Health, general
ISSN
0300-9009
eISSN
2240-2993
DOI
10.1007/s13760-013-0261-z
pmid
24249384
Publisher site
See Article on Publisher Site

Abstract

Acta Neurol Belg (2014) 114:321–323 DOI 10.1007/s13760-013-0261-z LETTE R T O T HE EDI T OR Atlanto-axial erosion as the presenting manifestation of systemic tuberculosis: a tricky diagnosis in western countries • • Raffaele Nardone Frediano Tezzon • • Piergiorgio Lochner Eugen Trinka Francesco Brigo Received: 8 September 2013 / Accepted: 5 November 2013 / Published online: 19 November 2013 Belgian Neurological Society 2013 Dear Editor, Head and cervical spine MRI showed a bone erosion involving craniovertebral junction with pathological con- We describe a patient in whom erosive lesions of the atl- trast enhancement, indicative of an inflammatory pannus. anto-axial junction were the presenting manifestation of The atlanto-occipital joint space was bilaterally decreased, systemic tuberculosis. and the articular margins appeared to be irregular (Fig. 1a, A 65-year-old man presented with worsening neck and b). Laboratory tests revealed increased inflammatory occipital pain. His previous medical history was notable for parameters but were otherwise unremarkable. A thorax high blood pressure and prostatic hypertrophy, and he was computed tomography scan showed multiple nodular a heavy smoker. He has been suffering from cervicalgia for shadows (Fig. 1c). the past 4 years. A cervical magnetic resonance imaging The patient underwent occipitocervical fusion with (MRI)

Journal

Acta Neurologica Belgica – Springer Journals

Published: Nov 19, 2013

References

  • Unusual presentation of craniovertebral junction tuberculosis: a report of 2 cases and literature review
    Mohindra, S; Gupta, SK; Mohindra, S; Gupta, R
  • Tuberculosis of the craniovertebral junction
    Qureshi, MA; Afzal, W; Khalique, AB; Pasha, IF; Aebi, M
  • Craniocervical tuberculosis: protocol of surgical management
    Behari, S; Nayak, SR; Bhargava, V; Banerji, D; Chhabra, DK; Jain, VK
  • Seizure heralding tuberculous meningitis
    Brigo, F; Ausserer, H; Zuccoli, G; Tezzon, F; Nardone, R
  • Rheumatoid arthritis of the craniovertebral junction
    Krauss, WE; Bledsoe, JM; Clarke, MJ; Nottmeier, EW; Pichelmann, MA