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- Title
Pott's disease mimicking metastasis.
- Authors
Verma, Anand; Maini, Lalit; Gautam, Virender; Yadav, Vedpal; Kumar, Yashwanth; Kainth, Gurvinder
- Abstract
Case report of one patient with tuberculosis of both the posterior and anterior elements of the spine presenting with severe back pain and upper motor neuron type of weakness in both the lower limbs are described who was initially diagnosed as a case of dorsal spine metastasis with unknown primary. This patient underwent extensive radiological and biochemical survey to find out the primary neoplasm but in vain. CT-guided biopsy was done. Biopsy proved the diagnosis of tuberculosis. Proper diagnosis of spinal tuberculosis was made. Patient started on standard anti-tubercular regimen. At 3 months follow-up, patient had no neurological deficit with marked reduction in back pain. Thus, in developing countries where tuberculosis is an endemic disease, tuberculosis must be kept as a differential diagnosis in all cases of extradural compressive myelopathy.
- Subjects
SPINE diseases diagnosis; TUBERCULOSIS diagnosis; CANCER diagnosis; SPINAL tumors; BIOPSY; DIFFERENTIAL diagnosis; MAGNETIC resonance imaging; SPINE diseases; TUBERCULOSIS; SYMPTOMS
- Publication
European Journal of Orthopaedic Surgery & Traumatology, 2011, Vol 21, Issue 4, p285
- ISSN
1633-8065
- Publication type
Case Study
- DOI
10.1007/s00590-010-0698-1