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.
Keywords
Pott’s spine - tubercular meningitis - primary optic atrophy
