颅椎交界处结核伴舌下面神经麻痹1例。

Q4 Medicine JBJS case connector Pub Date : 2024-11-14 eCollection Date: 2024-10-01 DOI:10.2106/JBJS.CC.24.00266

Aman Verma, Vikas Olkha, Siddharth Sekhar Sethy, Vishal Verma, Nikhil Goyal, Pankaj Kandwal

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引用次数: 0

摘要

病例：47岁男性，颈部疼痛，颈部活动受限，面部和舌下神经受累。根据临床与放射学的相关性，患者被诊断为颅椎交界处结核，并开始抗结核治疗。保守试验失败，患者接受手术，并通过植骨完成枕颈融合。接受ATT治疗12个月后，患者面部和舌下神经完全恢复，不稳定性疼痛完全缓解。结论：颅椎交界处结核并不常见，以累及脑神经为表现更为少见。应进行细致的临床放射学评估以诊断和计划治疗。早期识别和及时启动心房动脉炎，必要时及时进行手术干预，对于最佳管理和结果至关重要。

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Craniovertebral Junction Tuberculosis, a Rare Presentation With Hypoglossal and Facial Nerve Palsy: A Case Report.

Case: A 47-year-old man presented with neck pain, restricted neck movements, along with involvement of facial and hypoglossal nerve. On the basis of clinico-radiological correlation, the patient was diagnosed with craniovertebral junction tuberculosis and was started on antitubercular therapy (ATT). Failing the conservative trial, the patient was operated and occipitocervical fusion was done with bone grafting. After 12 months of ATT intake, he showed complete recovery of the facial and hypoglossal nerve, with complete resolution of instability pain.

Conclusion: Craniovertebral junction tuberculosis is uncommon, and its manifestation with cranial nerves involvement is even more rare. Meticulous clinico-radiological assessment should be done to diagnose and plan the treatment. Early recognition and prompt initiation of ATT, along with timely surgical intervention, when necessary, are crucial for optimal management and outcomes.

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来源期刊

JBJS case connector Medicine-Medicine (all)

CiteScore

0.60

自引率

0.00%

发文量

319

期刊介绍： JBJS Case Connector helps improve patient care by providing the medical community with a journal that harnesses technology to provide information tools for discovery and reporting of unusual musculoskeletal problems, findings, treatment, and outcomes. Co-edited by Thomas W. Bauer, MD, PhD, and Ronald W. Lindsey, MD, JBJS Case Connector assists orthopaedic surgeons in the search for precedents, connections, and trends in their efforts to improve patient care. Using this unique journal, surgeons can find the commonalities between cases, benefit from the experience of their peers, and filter case information by many important variables in order to provide the best possible care for orthopaedic patients. This cross-referenced online journal includes thousands of orthopaedic case reports. It compiles symptoms, conditions, and demographic details to empower surgeons to find cases similar to theirs. Surgeons can mine the database to reveal emerging trends and identify patterns, distinguishing between truly rare cases and repeated, related single instances of a larger problem. The JBJS Case Connector Image Quiz feature provides interactive quizzes based on images from content published by JBJS and includes a discussion area for further exploration of ideas and concepts. The JBJS Image Quiz app for iPad and iPhone is available in the App Store. Contributions to JBJS Case Connector are welcomed from anywhere in the world and are considered on their merits. Articles must be written in English and should be submitted as outlined in the Instructions to Authors. All authors must abide by the JBJS ethics policies and all submissions to JBJS Case Connector are covered by the JBJS embargo policy.