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Abstract
Objectives
We report a case of a female patient who had only upper back pain without neurological symptoms and was later diagnosed with spine tuberculosis in combination with a compression fracture.
Summary of Literature Review
Spine tuberculosis is the most common type of musculoskeletal tuberculosis. However, the indolent nature of tuberculous bone and joint disease often leads to delayed diagnosis and severe neurologic complications.
Material and Methods
A 37-year-old female with only upper back pain for five months was admitted. She had no signs, symptoms or past histories related to tuberculosis. She had taken conservative management, but symptoms persisted.
REFERENCES
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Fig. 1.
Preoperative posteroanterior view of the chest radiography shows no active lesion in both lungs.
Fig. 2.
Preoperative posteroanterior and lateral view of the cervical X ray shows no remarkable finding.
Fig. 3.
Magnetic resonance Sagittal T2-weighted images shows high signal in T4-6, which is abscess formation and inflammation involvement of Rt. posterior epidural space and posterior elements and compression fracture T5.
Fig. 4.
Sensory evoked potentials. (A) Right median nerve SEP (B) Left median nerve SEP (C) Right tibial nerve SEP (D) Left tibial nerve SEP
Table 1.
Results of sensory evoked potentials (SEPs)
| Location | Median SEP | Tibial SEP | ||||
|---|---|---|---|---|---|---|
| Latency (ms) | Amplitude (μV) | Latency (ms) | Amplitude (μV) | |||
| CZ-N20 | CZ-P25 | N20 | CZ-N20 | CZ-P25 | N20 | |
| Right | 19.20 | 27.20 | 27.20 | No response | ||
| Left | 19.20 | 25.75 | 25.75 | No response | ||
Table 2.
Results of motor evoked potentials (MEPs)
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