CC BY-NC-ND 4.0 · IJNS 2017; 06(01): 072-075
DOI: 10.1055/s-0036-1588032
Images in Neurosurgery
Thieme Medical and Scientific Publishers Private Ltd.

Tuberculosis of the Clivus

Vijay P. Joshi
1  Department of Neurosurgery, S P Institute of Neurosciences, Solapur, Maharashtra, India
,
Shirish Valsangkar
2  Department of Neurology, S P Institute of Neurosciences, Solapur, Maharashtra, India
,
Ashwin Valsangkar
2  Department of Neurology, S P Institute of Neurosciences, Solapur, Maharashtra, India
,
Anish Dekhne
3  Department of Pathology, S P Institute of Neurosciences, Solapur, Maharashtra, India
,
Satish Nivargi
4  Department of Anaesthesiology, S P Institute of Neurosciences, Solapur, Maharashtra, India
,
Amit Agrawal
5  Department of Neurosurgery, Narayana Medical College Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, India
› Author Affiliations
Further Information

Publication History

16 May 2016

07 July 2016

Publication Date:
29 September 2016 (online)

  

Abstract

The rarity of the tubercular involvement of the clivus makes the preoperative diagnosis difficult. We report a case of a 40-year-old man who presented with right-sided trigeminal neuralgia without any other neurological symptoms or deficits. Postcontrast images showed a dural-based lesion in the region of the clivus which was isointense on T1 images and hypointense on T2 images and the lesion was enhancing after contrast administration suggestive of a tumor. The patient underwent surgical excision of the lesion and the histopathological examination was suggestive of tuberculosis. The patient completed the course of antitubercular therapy and recovered well. Tuberculosis of the clivus region runs an indolent course and following appropriate treatment these patient do well.