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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
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Calvarial tubercular osteomyelitic abscess in an elderly
Bhavanam Hanuma Srinivas1, Megha Shantveer Uppin2, Sateesh Killi3
1Department of Neurosurgery, Nizam's Institute of Medical Sciences, Punjagutta, Hyderabad, Andhra Pradesh, India.
Asian Journal of Neurosurgery
|October 4, 2016
Summary
Tuberculous osteomyelitis of the skull is a rare condition. Surgical debridement combined with anti-tubercular therapy may hasten recovery in patients with calvarial tuberculosis.
Area of Science:
- Infectious Diseases
- Neurosurgery
- Radiology
Background:
- Tuberculous osteomyelitis of the skull is exceptionally rare, even in tuberculosis-endemic regions.
- Osteomyelitis, an infection of the bone, can affect the skull, presenting unique diagnostic and management challenges.
Observation:
- An immunocompetent elderly woman presented with scalp swelling and cervical lymphadenopathy.
- Imaging revealed irregular frontal bone destruction, an extradural lesion with specific characteristics on CT and MRI.
Findings:
- Fine-needle aspiration cytology (FNAC) confirmed granulomas with caseation, indicative of tuberculosis.
- The patient underwent surgical debridement and initiated anti-tubercular therapy, with adjustments made due to liver parameter changes.
Implications:
- Anti-tubercular therapy is crucial for calvarial tuberculosis management.
- Surgical debridement may reduce bacterial load and accelerate healing in skull tuberculosis.
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