SA Orthopaedic Journal
On-line version ISSN 2309-8309
Skeletal tuberculosis (TB) is commonly seen in South Africa, especially in the immune-compromised patient group. The thoracic and lumbar spine are commonly affected and the decision-making around pathology in that area has become easier based on experience gained in, especially, government institutions. The danger occurs when atypical sites of infection occur and the associated structures and pathology thereof are not thoroughly considered and investigated. A case is reported which highlights the potential pitfalls of tuberculosis of the skull. The associated cranio-cervical pathology appears very similar to meningitis and subtle changes on imaging in that area is often difficult to assess and easily missed. There are several management options based on individual presentation. Medical management remains the same as for all other skeletal TB.
Keywords : TB osteitis; atlantoaxial dislocation; cranio-cervical TB.