Tuberculous spondylodiscitis of the atlanto-occipital articulation (atlanto-axial tuberculosis)

Case contributed by Dr Mohammad A. ElBeialy

Presentation

Neck pain. Poorly-controlled diabetic patient.

Patient Data

Age: 50
Gender: Male

Plain x-ray shows enlargment of the prevertebral soft tissue shadow at C1/C2 level.

MRI shows a destructive lesion is seen involving and centered about the atlanto-axial articulation with oedema signal of low T1 and high T2 signal as well as pre-vertebral inflammatory soft tissue. Preserved height and bright T2 signal intensity. No significant posterior disc lesion. Normal cord and cervico-medullary junction.

Case Discussion

Spondylodiscitis; most likely tuberculous with pre-vertebral inflammatory soft tissue lesion (Atlanto-axial TB). 

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Case Information

rID: 21789
Case created: 19th Feb 2013
Last edited: 7th Feb 2016
Tags: tb, spine
Inclusion in quiz mode: Included

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