Pott’s Spine with Tubercular Meningitis and Primary Optic Atrophy: An Enigma with a Rare Cautionary Tale

Tuberculosis of spine, known as Pott’s spine, is a significant health risk. Misdiagnosis or delayed diagnosis with lack of timely interventions lead to serious neurological complications and is associated with morbidity and mortality. We present a case of Pott’s spine who developed tubercular mening...

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Main Authors: Khursheed Alam Khan, Kunj Bihari Saraswat, Tushar Marbate, Ashok Gupta
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2019-11-01
Series:Indian Journal of Neurosurgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-3400345
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author Khursheed Alam Khan
Kunj Bihari Saraswat
Tushar Marbate
Ashok Gupta
author_facet Khursheed Alam Khan
Kunj Bihari Saraswat
Tushar Marbate
Ashok Gupta
author_sort Khursheed Alam Khan
collection DOAJ
description Tuberculosis of spine, known as Pott’s spine, is a significant health risk. Misdiagnosis or delayed diagnosis with lack of timely interventions lead to serious neurological complications and is associated with morbidity and mortality. We present a case of Pott’s spine who developed tubercular meningitis with decreased vision due to primary optic atrophy, to highlight the significance of thorough clinical and neuroradiological workup with instillation of prompt antitubercular therapy in patients of central nervous system tuberculosis (CNS TB). This association of Pott’s spine with decreased vision secondary to primary optic atrophy due to tubercular involvement of the second cranial nerve is very rare. Here, associated risk factors, varied clinical presentations, complications, and treatment of CNS TB are reviewed.
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spelling doaj.art-33523d41ff8b4149a745adaa066ae2902022-12-21T18:20:54ZengThieme Medical Publishers, Inc.Indian Journal of Neurosurgery2277-954X2277-91672019-11-01080319920210.1055/s-0039-3400345Pott’s Spine with Tubercular Meningitis and Primary Optic Atrophy: An Enigma with a Rare Cautionary TaleKhursheed Alam Khan0Kunj Bihari Saraswat1Tushar Marbate2Ashok Gupta3Department of Neurosurgery, Sawai Maan Singh Medical College, Jaipur, Rajasthan, IndiaDepartment of Neurosurgery, Sawai Maan Singh Medical College, Jaipur, Rajasthan, IndiaDepartment of Neurosurgery, Sawai Maan Singh Medical College, Jaipur, Rajasthan, IndiaDepartment of Neurosurgery, Sawai Maan Singh Medical College, Jaipur, Rajasthan, IndiaTuberculosis of spine, known as Pott’s spine, is a significant health risk. Misdiagnosis or delayed diagnosis with lack of timely interventions lead to serious neurological complications and is associated with morbidity and mortality. We present a case of Pott’s spine who developed tubercular meningitis with decreased vision due to primary optic atrophy, to highlight the significance of thorough clinical and neuroradiological workup with instillation of prompt antitubercular therapy in patients of central nervous system tuberculosis (CNS TB). This association of Pott’s spine with decreased vision secondary to primary optic atrophy due to tubercular involvement of the second cranial nerve is very rare. Here, associated risk factors, varied clinical presentations, complications, and treatment of CNS TB are reviewed.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-3400345pott’s spinetubercular meningitisprimary optic atrophy
spellingShingle Khursheed Alam Khan
Kunj Bihari Saraswat
Tushar Marbate
Ashok Gupta
Pott’s Spine with Tubercular Meningitis and Primary Optic Atrophy: An Enigma with a Rare Cautionary Tale
Indian Journal of Neurosurgery
pott’s spine
tubercular meningitis
primary optic atrophy
title Pott’s Spine with Tubercular Meningitis and Primary Optic Atrophy: An Enigma with a Rare Cautionary Tale
title_full Pott’s Spine with Tubercular Meningitis and Primary Optic Atrophy: An Enigma with a Rare Cautionary Tale
title_fullStr Pott’s Spine with Tubercular Meningitis and Primary Optic Atrophy: An Enigma with a Rare Cautionary Tale
title_full_unstemmed Pott’s Spine with Tubercular Meningitis and Primary Optic Atrophy: An Enigma with a Rare Cautionary Tale
title_short Pott’s Spine with Tubercular Meningitis and Primary Optic Atrophy: An Enigma with a Rare Cautionary Tale
title_sort pott s spine with tubercular meningitis and primary optic atrophy an enigma with a rare cautionary tale
topic pott’s spine
tubercular meningitis
primary optic atrophy
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-3400345
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AT tusharmarbate pottsspinewithtubercularmeningitisandprimaryopticatrophyanenigmawithararecautionarytale
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