{"title":"Cranio-vertebral junction tuberculosis: Uncommon presentation of a common disease.","authors":"Souradeep Chowdhury, Surabhi Vyas, Upendra Baitha, Pankaj Jorwal, Manish Soneja, Amandeep Singh","doi":"10.1177/14782715241302224","DOIUrl":null,"url":null,"abstract":"<p><p>Cranio-vertebral junction (CVJ) tuberculosis, although rare, contributes significantly to morbidity. We detail the case of a young woman manifesting symptoms such as headaches, neck pain and pronounced weight loss. Diagnostic confirmation was achieved through an integrated approach of clinical evaluation and imaging modalities. The patient was treated with anti-tubercular pharmacotherapy and mechanical stabilisation using a cervical collar. This regimen resulted in significant clinical improvement, illustrating the potential effectiveness of conservative management strategies in selected cases. CVJ tuberculosis represents a diagnostic and therapeutic challenge, often necessitating clinic-radiological assessment and a spectrum of management strategies ranging from conservative medical therapy to surgical intervention.</p>","PeriodicalId":46606,"journal":{"name":"Journal of the Royal College of Physicians of Edinburgh","volume":" ","pages":"14782715241302224"},"PeriodicalIF":1.1000,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the Royal College of Physicians of Edinburgh","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/14782715241302224","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0
Abstract
Cranio-vertebral junction (CVJ) tuberculosis, although rare, contributes significantly to morbidity. We detail the case of a young woman manifesting symptoms such as headaches, neck pain and pronounced weight loss. Diagnostic confirmation was achieved through an integrated approach of clinical evaluation and imaging modalities. The patient was treated with anti-tubercular pharmacotherapy and mechanical stabilisation using a cervical collar. This regimen resulted in significant clinical improvement, illustrating the potential effectiveness of conservative management strategies in selected cases. CVJ tuberculosis represents a diagnostic and therapeutic challenge, often necessitating clinic-radiological assessment and a spectrum of management strategies ranging from conservative medical therapy to surgical intervention.
期刊介绍:
The Journal of the Royal College of Physicians of Edinburgh (JRCPE) is the College’s quarterly, peer-reviewed journal, with an international circulation of 8,000. It has three main emphases – clinical medicine, education and medical history. The online JRCPE provides full access to the contents of the print journal and has a number of additional features including advance online publication of recently accepted papers, an online archive, online-only papers, online symposia abstracts, and a series of topic-specific supplements, primarily based on the College’s consensus conferences.