Endoscopic, endonasal decompression of spinal stenosis with myelopathy secondary to cranio-vertebral tuberculosis: Two cases
Document Type
Article
Publication Date
1-1-2010
Abstract
Background: Tuberculosis can cause extensive osseo-ligamentous destruction at the cranio-vertebral junction, leading to atlanto-axial instability and compression of vital cervico-medullary centres. This may manifest as quadriparesis, bulbar dysfunction and respiratory insufficiency. Aim: We report two patients presenting with spinal stenosis and cord compression secondary to cranio-vertebral tuberculosis, who were successfully decompressed via an endoscopic, endonasal approach. Study design: Two case reports. Methods and results: Both patients were successfully decompressed via an endoscopic, endonasal approach which provided access to the cranio-vertebral junction and upper cervical spine. Conclusion: An endoscopic, endonasal approach is feasible for the surgical management of cranio-vertebral junction stenosis; such an approach minimises surgical trauma to critical structures, reducing post-operative morbidity and the duration of hospital stay.
Keywords
Endoscopic, Endonasal Spinal Decompression, Spinal Stenosis, Craniovertebral, Tuberculosis
Divisions
fac_med
Publication Title
The Journal of Laryngology & Otology
Volume
124
Issue
7
Publisher
Cambridge University Press
Publisher Location
EDINBURGH BLDG, SHAFTESBURY RD, CB2 8RU CAMBRIDGE, ENGLAND