Apetse K, Waklatsi K P, Foma W, Diallo S H, Kombate D, Assogba K, Balogou Aak
Faculté des Sciences de la Santé, Université de Lomé, BP : 1515 Lomé-Togo.
Service de Neurologie, CHU CAMPUS de Lomé, 03 BP : 30284 Lomé-Togo.
Mali Med. 2021;36(3):63-65.
A 37-year-old patient was admitted for a left progressive left-hand hemiparesis associated with left C4-C5 neuralgia preceded by inflammatory neck pain for 04 months and dysphagia for 02 weeks. Magnetic resonance imaging showed C3-C5 spondylodiscitis lesions with epidural abscess and predominantly left lateralized compression of the spinal cord and retropharyngeal abscess. The patient was operated for incision and drainage of the retropharyngeal abscess through the oral cavity and Koch bacillus was demonstrated from the aspirate by molecular technique GeneXpert. The patient was treated anti-tuberculosis drug therapy and we noted a fully neurological and extraneurological recovery.
一名37岁患者因左侧进行性左手偏瘫入院，伴有左侧C4 - C5神经痛，此前有4个月的炎性颈部疼痛和2周的吞咽困难。磁共振成像显示C3 - C5椎体椎间盘炎病变，伴有硬膜外脓肿，脊髓主要为左侧受压以及咽后脓肿。患者接受了经口腔切开引流咽后脓肿的手术，通过分子技术GeneXpert从吸出物中检测出结核杆菌。患者接受了抗结核药物治疗，我们注意到其神经功能和非神经功能完全恢复。
