Management of Craniovertebral Junction Tuberculosis Presenting with Atlantoaxial Dislocation

Granit Molliqaj; Philipp Dammann; Karl Schaller; Ulrich Sure; Enrico Tessitore

doi:10.1007/978-3-319-62515-7_49

Management of Craniovertebral Junction Tuberculosis Presenting with Atlantoaxial Dislocation

Acta Neurochir Suppl. 2019:125:337-344. doi: 10.1007/978-3-319-62515-7_49.

Authors

Granit Molliqaj¹, Philipp Dammann^{2

3}, Karl Schaller², Ulrich Sure³, Enrico Tessitore²

Affiliations

¹ Department of Neurosurgery, Geneva University Hospitals, Geneva, Switzerland. Granit.Molliqaj@hcuge.ch.
² Department of Neurosurgery, Geneva University Hospitals, Geneva, Switzerland.
³ Department of Neurosurgery, University Hospital Essen, Essen, Germany.

PMID: 30610343
DOI: 10.1007/978-3-319-62515-7_49

Abstract

Tuberculosis (TB) rarely involves the craniovertebral junction (CVJ). Atlantoaxial dislocation (AAD) is one of the most commonly encountered lesions in craniocervical TB. The incidence of TB and its craniovertebral manifestation is increasing even in developed countries because of intercontinental migration and increased prevalence rates of immunosuppression conditions. While the treatment of craniovertebral TB is well standardized and relies on conservative measures, the treatment of TB with AAD is disputable. In this paper we present a review of the literature and elucidate our approach to craniovertebral TB with AAD through a case illustration.

Keywords: Atlantoaxial dislocation; Craniocervical fixation; Craniovertebral junction; Tuberculosis.

Publication types

Case Reports
Review

MeSH terms

Atlanto-Axial Joint*
Humans
Joint Dislocations / etiology
Joint Dislocations / therapy*
Tuberculosis, Spinal / complications
Tuberculosis, Spinal / therapy*