Puraviappan P, Tang I P, Yong D J, Prepageran N, Carrau R L, Kassam A B
ORL Department, Faculty of Medicine, University Putra Malaysia, Selangor, Malaysia.
J Laryngol Otol. 2010 Jul;124(7):816-9. doi: 10.1017/S0022215109992271. Epub 2009 Dec 11.
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.
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.
Two case reports.
Both patients were successfully decompressed via an endoscopic, endonasal approach which provided access to the cranio-vertebral junction and upper cervical spine.
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.
结核病可导致颅颈交界区广泛的骨韧带破坏，导致寰枢椎不稳及重要的颈髓中枢受压。这可能表现为四肢瘫痪、延髓功能障碍和呼吸功能不全。
我们报告两例因颅颈结核继发脊柱狭窄和脊髓受压的患者，他们通过内镜下鼻内入路成功减压。
两例病例报告。
两名患者均通过内镜下鼻内入路成功减压，该入路可到达颅颈交界区和上颈椎。
内镜下鼻内入路用于颅颈交界区狭窄的手术治疗是可行的；这种入路可将对关键结构的手术创伤降至最低，减少术后发病率和住院时间。
