Tuberculosis of the Clivus
The rarity of the tubercular involvement of the clivus makes the preoperative diagnosis difficult. We report a case of a 40-year-old man who presented with right-sided trigeminal neuralgia without any other neurological symptoms or deficits. Postcontrast images showed a dural-based lesion in the reg...
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2017-03-01
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| Series: | Indian Journal of Neurosurgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0036-1588032 |
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| author | Vijay P. Joshi Shirish Valsangkar Ashwin Valsangkar Anish Dekhne Satish Nivargi Amit Agrawal |
| author_facet | Vijay P. Joshi Shirish Valsangkar Ashwin Valsangkar Anish Dekhne Satish Nivargi Amit Agrawal |
| author_sort | Vijay P. Joshi |
| collection | DOAJ |
| description | The rarity of the tubercular involvement of the clivus makes the preoperative diagnosis difficult. We report a case of a 40-year-old man who presented with right-sided trigeminal neuralgia without any other neurological symptoms or deficits. Postcontrast images showed a dural-based lesion in the region of the clivus which was isointense on T1 images and hypointense on T2 images and the lesion was enhancing after contrast administration suggestive of a tumor. The patient underwent surgical excision of the lesion and the histopathological examination was suggestive of tuberculosis. The patient completed the course of antitubercular therapy and recovered well. Tuberculosis of the clivus region runs an indolent course and following appropriate treatment these patient do well. |
| format | Article |
| id | doaj-art-10adbca51eb747d0a9cdefae02035e46 |
| institution | DOAJ |
| issn | 2277-954X 2277-9167 |
| language | English |
| publishDate | 2017-03-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Neurosurgery |
| spelling | doaj-art-10adbca51eb747d0a9cdefae02035e462025-08-20T03:17:14ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Neurosurgery2277-954X2277-91672017-03-01060107207510.1055/s-0036-1588032Tuberculosis of the ClivusVijay P. Joshi0Shirish Valsangkar1Ashwin Valsangkar2Anish Dekhne3Satish Nivargi4Amit Agrawal5Department of Neurosurgery, S P Institute of Neurosciences, Solapur, Maharashtra, IndiaDepartment of Neurology, S P Institute of Neurosciences, Solapur, Maharashtra, IndiaDepartment of Neurology, S P Institute of Neurosciences, Solapur, Maharashtra, IndiaDepartment of Pathology, S P Institute of Neurosciences, Solapur, Maharashtra, IndiaDepartment of Anaesthesiology, S P Institute of Neurosciences, Solapur, Maharashtra, IndiaDepartment of Neurosurgery, Narayana Medical College Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, IndiaThe rarity of the tubercular involvement of the clivus makes the preoperative diagnosis difficult. We report a case of a 40-year-old man who presented with right-sided trigeminal neuralgia without any other neurological symptoms or deficits. Postcontrast images showed a dural-based lesion in the region of the clivus which was isointense on T1 images and hypointense on T2 images and the lesion was enhancing after contrast administration suggestive of a tumor. The patient underwent surgical excision of the lesion and the histopathological examination was suggestive of tuberculosis. The patient completed the course of antitubercular therapy and recovered well. Tuberculosis of the clivus region runs an indolent course and following appropriate treatment these patient do well.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0036-1588032tuberculous osteitistuberculosisclivusskull base |
| spellingShingle | Vijay P. Joshi Shirish Valsangkar Ashwin Valsangkar Anish Dekhne Satish Nivargi Amit Agrawal Tuberculosis of the Clivus Indian Journal of Neurosurgery tuberculous osteitis tuberculosis clivus skull base |
| title | Tuberculosis of the Clivus |
| title_full | Tuberculosis of the Clivus |
| title_fullStr | Tuberculosis of the Clivus |
| title_full_unstemmed | Tuberculosis of the Clivus |
| title_short | Tuberculosis of the Clivus |
| title_sort | tuberculosis of the clivus |
| topic | tuberculous osteitis tuberculosis clivus skull base |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0036-1588032 |
| work_keys_str_mv | AT vijaypjoshi tuberculosisoftheclivus AT shirishvalsangkar tuberculosisoftheclivus AT ashwinvalsangkar tuberculosisoftheclivus AT anishdekhne tuberculosisoftheclivus AT satishnivargi tuberculosisoftheclivus AT amitagrawal tuberculosisoftheclivus |