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1 results

  • Endoscopic, endonasal decompression of spinal stenosis with myelopathy secondary to cranio-vertebral tuberculosis: two cases

  • P Puraviappan, I P Tang, D J Yong, N Prepageran, R L Carrau, A B Kassam
  • Journal:
    The Journal of Laryngology & Otology / Volume 124 / Issue 7 / July 2010
    Published online by Cambridge University Press:
    11 December 2009, pp. 816-819
    Print publication:
    July 2010
  • 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.