CC BY-NC-ND 4.0 · Indian Journal of Neurosurgery 2019; 08(03): 199-202
DOI: 10.1055/s-0039-3400345
Case Report
Neurological Surgeons' Society of India

Pott’s Spine with Tubercular Meningitis and Primary Optic Atrophy: An Enigma with a Rare Cautionary Tale

Khursheed Alam Khan
1   Department of Neurosurgery, Sawai Maan Singh Medical College, Jaipur, Rajasthan, India
,
Kunj Bihari Saraswat
1   Department of Neurosurgery, Sawai Maan Singh Medical College, Jaipur, Rajasthan, India
,
Tushar Marbate
1   Department of Neurosurgery, Sawai Maan Singh Medical College, Jaipur, Rajasthan, India
,
Ashok Gupta
1   Department of Neurosurgery, Sawai Maan Singh Medical College, Jaipur, Rajasthan, India
› Author Affiliations
Funding This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
Further Information

Publication History

Received: 16 October 2018

Accepted: 28 January 2019

Publication Date:
22 November 2019 (online)

Abstract

Tuberculosis of spine, known as Pott’s spine, is a significant health risk. Misdiagnosis or delayed diagnosis with lack of timely interventions lead to serious neurological complications and is associated with morbidity and mortality. We present a case of Pott’s spine who developed tubercular meningitis with decreased vision due to primary optic atrophy, to highlight the significance of thorough clinical and neuroradiological workup with instillation of prompt antitubercular therapy in patients of central nervous system tuberculosis (CNS TB). This association of Pott’s spine with decreased vision secondary to primary optic atrophy due to tubercular involvement of the second cranial nerve is very rare. Here, associated risk factors, varied clinical presentations, complications, and treatment of CNS TB are reviewed.

 
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