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[Sub-occipital Pott's disease. Diagnostic imaging in 2 cases]
A Akhaddar1, N Chakir, M Y El Hassani
1Service de Neuroradiologie, Hôpital des Spécialités, CHU Avicenne, Rabat, Maroc.
Journal of Neuroradiology = Journal De Neuroradiologie
|September 6, 2000
Summary
Pott's disease, a rare cervico-occipital tuberculosis, can cause spinal instability. Early diagnosis via imaging and prompt treatment with drugs and stabilization are crucial for successful outcomes.
Area of Science:
- Neurology
- Infectious Diseases
- Orthopedic Surgery
Background:
- Pott's disease (tuberculosis of the spine) most commonly affects the thoracolumbar region.
- Cervico-occipital junction involvement is exceptionally rare but poses significant risks.
Observation:
- Two cases of tuberculous spondylodiscitis at the cervico-occipital junction presented with spinal compression, torticollis, and dysphagia.
- Diagnosis was confirmed via CT, MRI, and transoral biopsy of a retropharyngeal abscess.
Findings:
- CT and MR imaging are vital for diagnosing this rare Pott's disease localization.
- Successful treatment involved antituberculosis drugs and external spinal stabilization.
Implications:
- Highlights the importance of considering Pott's disease in the cervico-occipital region for patients with relevant symptoms.
- Emphasizes the effectiveness of combined pharmacological and surgical stabilization for managing this condition.