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Article ; Online: Mal de pott cervical associe a un abces retropharynge revele par un syndrome de Brown Sequard.

Apetse, K / Waklatsi, K P / Foma, W / Diallo, S H / Kombate, D / Assogba, K / Balogou, Aak

2023 Volume 36, Issue 3, Page(s) 63–65

Abstract: ... compression of the spinal cord and retropharyngeal abscess. The patient was operated for incision and drainage ...

Title translation	Brown Sequard syndrome revealing a cervical pott's disease associated with a retropharyngeal abscess.
Abstract	A 37-year-old patient was admitted for a left progressive left-hand hemiparesis associated with left C4-C5 neuralgia preceded by inflammatory neck pain for 04 months and dysphagia for 02 weeks. Magnetic resonance imaging showed C3-C5 spondylodiscitis lesions with epidural abscess and predominantly left lateralized compression of the spinal cord and retropharyngeal abscess. The patient was operated for incision and drainage of the retropharyngeal abscess through the oral cavity and Koch bacillus was demonstrated from the aspirate by molecular technique GeneXpert. The patient was treated anti-tuberculosis drug therapy and we noted a fully neurological and extraneurological recovery.
Language	French
Publishing date	2023-11-16
Publishing country	Mali
Document type	English Abstract ; Journal Article
ZDB-ID	2502651-3
ISSN	1993-0836 ; 1993-0836
ISSN (online)	1993-0836
ISSN	1993-0836
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: SIGNIFICANCE OF MAGNETIC RESONANCE IMAGING FINDINGS IN POTT’S DISEASE. A DESCRIPTIVE CASE SERIES

Saman Mubashar Bajwa / Tasmia Mudassar Bajwa / Beenish Bajwa / Mudassar Ahmed Bajwa / Mubashar Ahmed Bajwa / Hafiz Khalid Pervaiz

Pakistan Armed Forces Medical Journal, Vol 70, Iss 2, Pp 594-

2020 Volume 598

Abstract: ... the significance of this imaging in spinal tuberculosis (Pott’s disease). Study Design: Descriptive study. Place ... from Jun, 2017 to Jul, 2018. A total of 120 consenting adults who were diagnosed cases of Pott’s disease ... found in 25 cases (20.8%). Lumbar spine was involved in 23 cases (19.1%). Cervical spine was involved ...

Abstract	Objective: To describe characteristic Magnetic Resonance Imaging features and assess the significance of this imaging in spinal tuberculosis (Pott’s disease). Study Design: Descriptive study. Place & Duration of study: Combined Military Hospital, Rawalpindi, from Jun 2017 to Jul 2018. Methodology: This study was carried out at the Department of Orthopedic Surgery at Combined Military Hospital, Rawalpindi from Jun, 2017 to Jul, 2018. A total of 120 consenting adults who were diagnosed cases of Pott’s disease were selected for the study. There were 60 males (50%) and 60 females (50%). Age range was 20-60 years. Mean age was 40 years. Diagnosed cases of spinal tuberculosis based on clinical, pathological and radiological findings were included in the study. Cases of pyogenic spondylitis, pyogenic psoas abscess, spinal trauma and vertebral column tumors were excluded. Results: Magnetic Resonance Imaging scan showed that lower thoracolumbar (49.1%) was the most common involved level. Only involvement of thoracic spine was found in 25 cases (20.8%). Lumbar spine was involved in 23 cases (19.1%). Cervical spine was involved in 9 cases (7.5%). Diffuse involvement of spine was found in only 4 cases (3.3%). Magnetic Resonance Imaging features and their incidences were: disc space narrowing/destruction in 105 (87.5%) cases, complete body destruction in 25 cases (20.8%), wedge collapse of body in 28 cases (23.3%), paraspinal abscess in 67 cases (55.8%), compression of spinal cord in 30 cases (25%) and calcification in 22 cases (18.33%). Conclusion: The significance of Magnetic Resonance Imaging is enormous in patients with spinal tuberculosis. It provides accurate information about the involvement of vertebrae, spinal cord and paraspinal soft tissues. This imagimg proved to be very advantageous from clinical as well as management point of view as serial scans describe the progression or regression of disease with great precision.
Keywords	calcification ; magnetic resonance imaging ; pott’s disease ; paraspinal abscess ; spinal cord compression ; Medicine ; R ; Medicine (General) ; R5-920
Subject code	610 ; 616
Language	English
Publishing date	2020-04-01T00:00:00Z
Publisher	Army Medical College Rawalpindi
Document type	Article ; Online
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Article ; Online: Pott’s disease in upper thoracic vertebrae in a two-year-old boy

Nathaly Cortez-Bazán / Jennifer R. Delgado / Omar Galdos / Luis Huicho

Revista Peruana de Medicina Experimental y Salud Pública, Vol 35, Iss 1, Pp 150-

case report

2018 Volume 4

Abstract: Pott’s disease is a health problem in developing countries and its diagnosis in children is ... a challenge. Here we present the case of a two-year-old boy with Pott’s disease involving T1 to T3 ... The spine MRI showed a chronic abscess, destruction of two vertebrae, and bone marrow compression ...

Abstract	Pott’s disease is a health problem in developing countries and its diagnosis in children is a challenge. Here we present the case of a two-year-old boy with Pott’s disease involving T1 to T3 thoracic vertebrae. The clinical presentation was characterized by difficulty walking, fever, cough, and dyspnea. At physical examination, kyphosis and bony prominence were observed in the cervicodorsal area. A positive tuberculin test was obtained, and Mycobacterium tuberculosis was isolated via culture of the gastric aspiration sample. The spine MRI showed a chronic abscess, destruction of two vertebrae, and bone marrow compression. The patient experienced some improvement with anti-TB therapy. Here, we emphasize the importance of giving consideration to the clinical suspicion for the early detection of this condition, as well as a quick TB-treatment start so as to avoid the disability and mortality associated to this disease.
Keywords	tuberculosis vertebral ; diagnóstico ; tratamiento ; preescolar ; Medicine ; R ; Medicine (General) ; R5-920
Subject code	610
Language	Spanish
Publishing date	2018-03-01T00:00:00Z
Publisher	Instituto Nacional de Salud
Document type	Article ; Online
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Article: Abord antérieur du rachis cervical dans le mal de Pott. A propos de 7 cas.

Achouri, M / Hilmani, S / Lakhdar, H / Ait Ben Ali, S / Naja, A / Ouboukhlik, A / el Kamar, A / el Azhari, A / Boucetta, M

Revue de chirurgie orthopedique et reparatrice de l'appareil moteur

1997 Volume 83, Issue 5, Page(s) 447–453

Abstract: This study reports 7 cases of cervical Pott's disease, gathered during 6 years in the department ... This procedure in conjunction with preoperative traction, allowed stabilization of the spine and healing ... cervical traction in 4 cases, all the patients had spinal fusion using an anterior approach. Post operative ...

Title translation	Anterior approach of cervical spine in Pott's disease. Apropos of 7 cases.
Abstract	This study reports 7 cases of cervical Pott's disease, gathered during 6 years in the department of neuro-surgery of Ibn Rochd U.H.C. 4 females and 3 males, aged between 9 and 52 years were included. All the patients complained of cervicobrachial pain and weakness of the limbs. Clinical features were: deterioration of general status, rachidian syndrome and neurological impairement with motor and sensitive deficit. Radiological analysis found a destructive and extensive lesion, cervical kyphosis from 10 degrees to 60 degrees, retropharyngeal abscess and intraspinal canal extension of infection. Diagnosis was confirmed by histological study in all cases. In addition to antituberculous therapy and preoperative cervical traction in 4 cases, all the patients had spinal fusion using an anterior approach. Post operative immobilization in a cervical collar varied from 9 to 12 months. All 7 patients had full neurological recovery, 6 patients had an excellent bony fusion and cervical kyphosis was corrected. For the remaining patient, the bone graft was mobilized without neurological disorders. This study confirms anterior arthrodesis efficiency. This procedure in conjunction with preoperative traction, allowed stabilization of the spine and healing of vertebral lesions with excellent kyphosis correction.
MeSH term(s)	Adolescent ; Antitubercular Agents/therapeutic use ; Cervical Vertebrae ; Child ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Prognosis ; Spinal Cord Compression/diagnosis ; Spinal Cord Compression/etiology ; Spinal Cord Compression/surgery ; Spinal Fusion ; Tomography, X-Ray Computed ; Tuberculosis, Spinal/complications ; Tuberculosis, Spinal/diagnosis ; Tuberculosis, Spinal/drug therapy ; Tuberculosis, Spinal/surgery
Chemical Substances	Antitubercular Agents
Language	French
Publishing date	1997
Publishing country	France
Document type	Case Reports ; English Abstract ; Journal Article
ZDB-ID	208650-5
ISSN	1776-2553 ; 0035-1040 ; 0150-9780
ISSN (online)	1776-2553
ISSN	0035-1040 ; 0150-9780
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Article: Mal de Pott atloïdo-axoidien. A propos d'un cas avec revue de la littérature.

Tabib, W / Sayegh, S / Colona d'Istria, F / Meyer, M

Revue de chirurgie orthopedique et reparatrice de l'appareil moteur

1994 Volume 80, Issue 8, Page(s) 734–738

Abstract: Introduction: A new case of sub-occipital Potts disease is reported.: Case report: A 26 years ... old female from Senegal was admitted for cervical pain of three months duration, neck stiffness and ...

Title translation	Atlanto-axial Pott's disease. Apropos of a case with review of the literature.
Abstract	Introduction: A new case of sub-occipital Potts disease is reported. Case report: A 26 years old female from Senegal was admitted for cervical pain of three months duration, neck stiffness and left nasal obstruction with Arnold neuralgia. Radiological studies found a C1-C2 rotatory subluxation with an osteolytic erosion of the lateral mass of the atlas and destruction of the left atlanto-axial joint. CT scan and magnetic resonance imaging provided important diagnostic clues. Culture of sinus biopsies showed a mycobacterium tuberculosis. Progressive reduction of the dislocation and immobilization by minerva jacket for six months with prolonged antituberculous chemotherapy provided successful end result. Discussion: A review of the literature found 95 cases reported since the beginning of this century. The mean age was 20-30 years old. A finding of acid resistant bacilli is necessary for diagnosis and requires culture of gastric secretion, expectoration, retro pharyngeal mass puncture and other upper respiratory tract foci. Radiological signs are discussed. Chemotherapy is the mainstay of treatment with immobilization following reduction of the dislocation when present. The removal of abscess is discussed as well as bone grafting by an anterior or more commonly by posterior approach in case of instability.
MeSH term(s)	Adult ; Antitubercular Agents/therapeutic use ; Atlanto-Axial Joint ; Casts, Surgical ; Female ; Humans ; Magnetic Resonance Imaging ; Tomography, X-Ray Computed ; Torticollis/etiology ; Tuberculosis, Spinal/complications ; Tuberculosis, Spinal/diagnosis ; Tuberculosis, Spinal/therapy
Chemical Substances	Antitubercular Agents
Language	French
Publishing date	1994
Publishing country	France
Document type	Case Reports ; English Abstract ; Journal Article ; Review
ZDB-ID	208650-5
ISSN	1776-2553 ; 0035-1040 ; 0150-9780
ISSN (online)	1776-2553
ISSN	0035-1040 ; 0150-9780
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Article ; Online: Experiences in management of Pott′s paraplegia and paraparesis in medical wards of Usmanu Danfodiyo university teaching hospital, Sokoto, Nigeria

Njoku C / Makusidi M / Ezunu E

Annals of African Medicine, Vol 6, Iss 1, Pp 22-

2007 Volume 25

Abstract: Background : Pott′s disease refers to spinal tuberculosis, which commonly leads to a gradual ... involved in 15.1% of patients. Cervical spine was only involved in 1.9% of the patients ... x0025; of the patients recovered full use of their lower limbs at the end of the study. Thoracic spine ...

Abstract	Background : Pott′s disease refers to spinal tuberculosis, which commonly leads to a gradual onset of neurological deficit that are difficult to diagnose at the early stage. Method : The study was a combination of retrospective and prospective study. Information was obtained using a predesigned protocol. Diagnosis was based on clinical features and plain spinal x-ray. Anti-tuberculous therapy was instituted in all patients for a minimum of 18 months. Monitoring of neurological status was done weekly. Results : There were 92 patients made up of 71 males (77.2%) and 21 females (22.8%) with a male: female ratios of 3.4:1. 53.3% were paraplegic while 46.7% were paraparetic. The age group 31-40 years was the most affected. 43.5% of the patients were farmers who formed the majority. Back pain, weight loss, paraplegia and paraparesis in that order were the common clinical features. 25% of the patients recovered full use of their lower limbs at the end of the study. Thoracic spine and lumbar spine were equally involved (41.5% respectively) while thoraco-lumbar spine was involved in 15.1% of patients. Cervical spine was only involved in 1.9% of the patients. Conclusion : Effective management of spinal tuberculosis should be a teamwork involving the physician, orthopedic surgeon, neurosurgeon as well as the radiologist. The rural populace needs to be educated to prevent late complications and ensure better prognosis.
Keywords	Pott′s paraparesis ; paraplegia ; medical management. ; Medicine (General) ; R5-920 ; Medicine ; R ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
Subject code	610
Language	English
Publishing date	2007-03-01T00:00:00Z
Publisher	Usmanu Danfodiyo University
Document type	Article ; Online
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Article ; Online: "A case report of Pott’s disease with unusual involvement of two separate levels of spine and delayed progressive Kyphosis "

Rahimi Movaghar V

Acta Medica Iranica, Vol 39, Iss 1, Pp 54-

2001 Volume 57

Abstract: In Pott’s disease (tuberculous spondylitis), involvement of two separate levels of spine is rare ... Attention to stability of spine prevents delayed progressive kyphosis. A 12-year-old girl presented ... was noticed. Preoperative diagnosis was metastasis. T9, T10 and T11 laminectomy and cervical ...

Abstract	In Pott’s disease (tuberculous spondylitis), involvement of two separate levels of spine is rare. Attention to stability of spine prevents delayed progressive kyphosis. A 12-year-old girl presented with neck pain, tenderness and swelling Imaging showed Cl—C2 and T9-T10 and destruction. Mild spastic paraparesis was noticed. Preoperative diagnosis was metastasis. T9, T10 and T11 laminectomy and cervical operations were done in 2 sessions. Both pathologic examinations confirmed tuberculosis. Although antituberculous medications and casting were performed, kyhosis progressed and neurologic deficit restrated. Reportation was done for spinal cord decompression and stabilzation. Tuberculosis could involve multiple spinal levels. Laminectomy is not suggested in children. Bone fusion and serial observations are important.
Keywords	Pott’s disease ; Tuberculous spondylitis ; Atlantoaxial dislocation ; T9-T10 destruction ; Laminectomy ; Kyphosis ; Child ; Medicine (General) ; R5-920
Language	English
Publishing date	2001-05-01T00:00:00Z
Publisher	Tehran University of Medical Sciences
Document type	Article ; Online
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Article ; Online: "A case report of Pott’s disease with unusual involvement of two separate levels of spine and delayed progressive Kyphosis "

Rahimi Movaghar V

Acta Medica Iranica, Vol 39, Iss

2001 Volume 1

Abstract	In Pott’s disease (tuberculous spondylitis), involvement of two separate levels of spine is rare. Attention to stability of spine prevents delayed progressive kyphosis. A 12-year-old girl presented with neck pain, tenderness and swelling Imaging showed Cl—C2 and T9-T10 and destruction. Mild spastic paraparesis was noticed. Preoperative diagnosis was metastasis. T9, T10 and T11 laminectomy and cervical operations were done in 2 sessions. Both pathologic examinations confirmed tuberculosis. Although antituberculous medications and casting were performed, kyhosis progressed and neurologic deficit restrated. Reportation was done for spinal cord decompression and stabilzation. Tuberculosis could involve multiple spinal levels. Laminectomy is not suggested in children. Bone fusion and serial observations are important.
Keywords	Pott’s disease ; Tuberculous spondylitis ; Atlantoaxial dislocation ; T9-T10 destruction ; Laminectomy ; Kyphosis ; Medicine (General) ; R5-920
Language	English
Publishing date	2001-03-01T00:00:00Z
Publisher	Tehran University of Medical Sciences
Document type	Article ; Online
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Article ; Online: Natural history of Pott's kyphosis.

Rajasekaran, S

European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society

2012 Volume 22 Suppl 4, Page(s) 634–640

Abstract: ... progression of the kyphosis is seen. The changes occurring in the spine of children, after the healing ... of the deformity is dislocation of the facets. This can be identified on radiographs by the "Spine-at-risk" signs ... Dislocation of facets at more than two levels can lead to the "Buckling collapse" of the spine, which is ...

Abstract	The natural history of Pott's kyphosis is different from that of other spinal deformities. After healing of the spinal infection, the post-tubercular kyphosis in adults is static but in children variable progression of the kyphosis is seen. The changes occurring in the spine of children, after the healing of the tubercular lesion, are more significant than the changes that occur during the active stage of infection. During growth, there is a decrease in deformity in 44 % of the children, an increase in deformity in 39 % of the children and no change in deformity in 17 % of the children. The critical factor leading to the progress of the deformity is dislocation of the facets. This can be identified on radiographs by the "Spine-at-risk" signs. Dislocation of facets at more than two levels can lead to the "Buckling collapse" of the spine, which is characteristically seen only in severe tubercular kyphosis in children. Age below 10 years, vertebral body loss of more than 1-1.5 pre-treatment deformity angle of greater than 30° and involvement of cervicothoracic or thoracolumbar junction are the other risk factors for deformity progression. In children, the kyphosis can progress even after healing of the spinal infection and hence children with spinal tuberculosis must be followed-up till skeletal maturity.
MeSH term(s)	Disease Progression ; Female ; Humans ; Kyphosis/etiology ; Male ; Tuberculosis, Spinal/complications
Language	English
Publishing date	2012-05-15
Publishing country	Germany
Document type	Journal Article ; Review
ZDB-ID	1115375-1
ISSN	1432-0932 ; 0940-6719
ISSN (online)	1432-0932
ISSN	0940-6719
DOI	10.1007/s00586-012-2336-6
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Article ; Online: Fatal case of retropharyngeal abscess associated with Pott's disease.

Hugar, Basappa S / Chandra, Y P Girish / Babu, P R Sreenivasa / Jayanth, S H / Vinay, J

Journal of forensic and legal medicine

2013 Volume 20, Issue 6, Page(s) 567–569

Abstract: ... associated with the Pott's disease is being discussed in the light of available literature. ... young children. Chronic retropharyngeal abscess is rare and results from tuberculosis of the spine. Such swelling ...

Abstract	Retropharyngeal abscess is a rare, deep seated infection of the neck that usually affects young children. Chronic retropharyngeal abscess is rare and results from tuberculosis of the spine. Such swelling in the neck gradually increases in size and is detected during the routine radiological screening for symptoms like pain, dysphagia, fever, dyspnoea, progressive inspiratory stridor (from laryngeal obstruction), neck hyperextension etc, but rarely leads to sudden death due to airway obstruction. Thus the forensic pathologist rarely comes across such type of cases. Present case concerns obstruction of upper airway by a large retropharyngeal cold abscess leading to death in a 13-year-old female child from a lower socio-economic family. The possible explanation for the progression and fatal outcome of such abscesses associated with the Pott's disease is being discussed in the light of available literature.
MeSH term(s)	Adolescent ; Airway Obstruction/etiology ; Asphyxia/etiology ; Cervical Vertebrae/microbiology ; Cervical Vertebrae/pathology ; Female ; Forensic Pathology ; Humans ; Lung/pathology ; Necrosis ; Osteomyelitis/microbiology ; Osteomyelitis/pathology ; Poverty ; Retropharyngeal Abscess/microbiology ; Retropharyngeal Abscess/pathology ; Tuberculosis, Spinal/complications
Language	English
Publishing date	2013-08
Publishing country	England
Document type	Case Reports ; Journal Article
ZDB-ID	2268721-X
ISSN	1878-7487 ; 1752-928X
ISSN (online)	1878-7487
ISSN	1752-928X
DOI	10.1016/j.jflm.2013.06.007
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