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Acute Paraplegia in a Toddler: A Diagnostic Journey Compounding the Challenge in Management: A Case Report

J H Goh1, M Fazir1, N A Zainal-Abidin1

  • 1Hospital Kuala Lumpur, Kuala Lumpur, Malaysia.

Malaysian Orthopaedic Journal
|April 25, 2017
PubMed

Insights

Spinal tuberculosis is rare in children, often presenting with vague symptoms. This case highlights challenges in diagnosing and managing spinal tuberculoma with neurological deficits in a young girl.

Area of Science:

  • Pediatric Neurology
  • Infectious Diseases
  • Spinal Surgery

Background:

  • Spinal tuberculosis (Pott disease) is uncommon in pediatric populations.
  • Early clinical manifestations are frequently nonspecific, delaying diagnosis.

Observation:

  • A case of a young girl with a complicated extradural tuberculoma is presented.
  • The patient exhibited significant neurological deficits.

Findings:

  • Diagnostic difficulties associated with pediatric spinal tuberculosis were encountered.
  • Management challenges in a complex pediatric case were highlighted.

Implications:

  • Emphasizes the need for high clinical suspicion for spinal tuberculosis in children presenting with vague symptoms.
  • Underscores the importance of timely diagnosis and multidisciplinary management for favorable outcomes in pediatric spinal tuberculosis.

Keywords:
Atypical spinal tuberculosisextradural tuberculomapaediatricparaplegia

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