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A Retrospective Study on Endoscopic Surgery for the Treatment of Paravertebral Abscess in Spinal Tuberculosis Patients
Published on: October 25, 2024
Neuro-otologic manifestations of tuberculosis. "The great imitator"
Johanna Miguelina Diplan Rubio1, Alfredo Vega Alarcón1, Marité Palma Díaz1
1Neuro-otologic Department, National Institute of neurology and Neurosurgery Manuel Velasco Suárez.
Objective:
To demonstrate the different neuro-otologic clinical presentations of tuberculosis.
Study Design:
Retrospective clinical analysis.
Result:
83.3% of the cases of ear or central nervous system TB were without concomitant lung disease. 2 cases had primary infection in the central nervous system. The neuro-otologic manifestation was as follows: 85.7% sensorineural hearing loss; 42% polyneuropathy. 71.4% had granulation tissue. 2 had normal otoscopy. In 6 patients the histopathology and Ziehl Neelsen were confirmatory. One case was confirmed by the positive response to treatment with antituberculosis drugs.
Conclusions:
Tuberculosis has a wide variety of neurotologic manifestations from chronic otitis media cadres to vestibular, audiological and neurological manifestations as well as a large variability in imaging studies.
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