Puraviappan, P. and Tang, I.P. and Yong, D.J. and Prepageran, N. and Carrau, R.L. and Kassam, A.B. (2010) Endoscopic, endonasal decompression of spinal stenosis with myelopathy secondary to cranio-vertebral tuberculosis: Two cases. The Journal of Laryngology & Otology, 124 (7). pp. 816-819. ISSN 0022-2151, DOI https://doi.org/10.1017/S0022215109992271.
Full text not available from this repository.Abstract
Background: Tuberculosis can cause extensive osseo-ligamentous destruction at the cranio-vertebral junction, leading to atlanto-axial instability and compression of vital cervico-medullary centres. This may manifest as quadriparesis, bulbar dysfunction and respiratory insufficiency. Aim: We report two patients presenting with spinal stenosis and cord compression secondary to cranio-vertebral tuberculosis, who were successfully decompressed via an endoscopic, endonasal approach. Study design: Two case reports. Methods and results: Both patients were successfully decompressed via an endoscopic, endonasal approach which provided access to the cranio-vertebral junction and upper cervical spine. Conclusion: An endoscopic, endonasal approach is feasible for the surgical management of cranio-vertebral junction stenosis; such an approach minimises surgical trauma to critical structures, reducing post-operative morbidity and the duration of hospital stay.
| Item Type: | Article |
|---|---|
| Funders: | UNSPECIFIED |
| Uncontrolled Keywords: | Endoscopic; Endonasal Spinal Decompression; Spinal Stenosis; Craniovertebral; Tuberculosis |
| Subjects: | R Medicine |
| Divisions: | Faculty of Medicine |
| Depositing User: | Mr Faizal 2 |
| Date Deposited: | 25 Mar 2015 02:42 |
| Last Modified: | 20 Feb 2020 03:29 |
| URI: | http://eprints.um.edu.my/id/eprint/13119 |
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