Sode Haboubacar Chaibou, Ibrahim Assoumane, Beranger Hounkpatin Seton Stachys, Soong-Meenga Nikiema Habi Alizéta, Aminath Kelani, Samuila Sanoussi
Service de Neurochirurgie, Hôpital National de Niamey, Niamey, République du Niger.
Service de Neurochirurgie, Hôpital de Référence de Maradi, Maradi, République du Niger.
Pan Afr Med J. 2019 Dec 6;34:186. doi: 10.11604/pamj.2019.34.186.20838. eCollection 2019.
Central Nervous System (CNS) Tuberculosis (TB) is rare. It manifests in many forms, but the association between intramedullary abscess and multifocal Pott's disease is exceptional. We report the case of a 23-year old female patient diagnosed with multifocal Pott's disease at L2-L3 and L4-L5 based on computed tomography (CT) scan of the spine. She received antituberculous treatment. Two months after the beginning of treatment spinal cord compression occurred. Medullary magnetic resonance imaging (MRI) was performed, which showed intramedullary abscess at T4. She underwent surgery with drainage of intramedullary abscess and spinal stabilization. Outcome was favorable, during the 12-month follow-up. The association between intramedullary abscess and multifocal Pott's disease is exceptional. Treatment is based on anti-tuberculous drugs, surgery for spinal decompression and/or spine stabilization if possible.
中枢神经系统（CNS）结核较为罕见。它有多种表现形式，但髓内脓肿与多灶性波特氏病之间的关联极为罕见。我们报告一例23岁女性患者，根据脊柱计算机断层扫描（CT）诊断为L2-L3和L4-L5的多灶性波特氏病。她接受了抗结核治疗。治疗开始两个月后出现脊髓压迫。进行了脊髓磁共振成像（MRI），显示T4水平有髓内脓肿。她接受了手术，进行了髓内脓肿引流和脊柱固定。在12个月的随访期间，结果良好。髓内脓肿与多灶性波特氏病之间的关联极为罕见。治疗基于抗结核药物，如有可能，进行脊柱减压和/或脊柱固定手术。
