An Unusual Case of Primary Nasal Tuberculosis with Epistaxis and Epilepsy

Batra, Kadambari; Chaudhary, Neena; Motwani, Gul; Rai, Ankita

doi:10.1177/014556130208101213

Cited by 30 publications

(7 citation statements)

References 8 publications

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“…Reports of epistaxis during GTCS are rare. Some of them refer to primary nasal tuberculosis causing ictal nose bleeding (2) , while others deal with haemostatic disorders associated to antiepileptic drugs (3) .…”

Section: Introductionmentioning

confidence: 99%

Epistaxis during a generalized seizure leading to an atypical ictal SPECT finding at the skull base

Wichert‐Ana

Ferruzzi

Alexandre

et al. 2006

J. epilepsy clin. neurophysiol.

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INTRODUCTION: Generalized tonic-clonic seizures (GTCS) are among the most dramatic types of epileptic seizures and may be accompanied by rising blood pressure and pulse rate, physical injuries from falling, muscular convulsions, tongue biting, or aspiration pneumonia. Epistaxis is an uncommon complication of generalized seizures and investigations should exclude local or systemic disorders. OBJECTIVE: We aim to report a 29-year-old male patient with medically intractable right temporal lobe epilepsy whose ictal SPECT showed a conspicuous high extracerebral accumulation of the tracer at the skull base. METHODS: The tracer 99mTc-ECD was injected during a GTCS complicated by simultaneous epistaxis during a long term video-electroencephalographic monitoring. RESULTS: Initially, SPECT images showed an unexpected hot spot at the skull base suggesting pharyngeal or pituitary tumors. Clinical history disclosed chronic sinusitis and rare episodes of epistaxis. White and red cells blood count, platelet count, serum biochemistry, coagulation tests, and rest arterial blood pressure were normal. Computed tomography and MRI excluded sinusoidal expansive or vascular lesions, head trauma, fractures or acute infections. Subtracted SPECT disclosed a focal high concentration of the radiotracer within the left sphenoid sinus, probably related to the nose bleeding. CONCLUSION: This is a singular case of a brain SPECT artifact secondary to a nasal bleeding during a generalized seizure that was misinterpreted as neoplastic disease. Also, this case raises concerns about the pathophysiological relationship among epileptic seizures, nasal bleedings and chronic sinusitis.

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Section: Introductionmentioning

confidence: 99%

Epistaxis during a generalized seizure leading to an atypical ictal SPECT finding at the skull base

Wichert‐Ana

Ferruzzi

Alexandre

et al. 2006

J. epilepsy clin. neurophysiol.

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“…Although the major symptom of the three reported cases was epistaxis [ 7 – 9 ], the predominant symptom of our case was nasal congestion. There was no lymphadenopathy, or any other tuberculous foci identified on physical examination.…”

Section: Discussionmentioning

confidence: 65%

“…Nasal tuberculosis is generally reported to occur in people between 20 and 84 years of age and is more common in women than men [ 3 ]. However, the number of pediatric cases in the literature is limited; these include an 11-year-old male and a 10-year-old female from India, as well as a 12-year-old female from England [ 7 – 9 ]. Our case is one of the very few published pediatric cases, and we wanted to emphasize the importance of this rare childhood presentation of tuberculosis.…”

Section: Discussionmentioning

confidence: 99%

Primary Nasal Tuberculosis in a 10-Year-Old Girl

Özer

Özsürekçi

Cengiz

et al. 2016

Canadian Journal of Infectious Diseases and Medical Microbiolog

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Nasal tuberculosis is a rare clinical entity which mainly presents in elderly people. Nasal tuberculosis has always been considered to be secondary to tuberculosis of the lungs, and in rare instances it is a primary infection, usually when mycobacteria are inhaled. We describe the case of a 10-year-old girl who was successfully treated for primary nasal tuberculosis. This patient is one of the very few children who have been reported to have primary nasal tuberculosis.

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“…Our case was unusual in that it occurred in a boy. Also, our review of the literature turned up only one other case that featured intracranial involvement [25] which makes our case all the more unusual.…”

Section: Discussionmentioning

confidence: 88%

Extra pulmonary tuberculosis of the head and neck region in pediatric population

Singh¹,

Khanna

Kumar³

et al. 2015

J Pediatr Infect Dis

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Tuberculosis is the most common communicable disease world wide. In this era of immunecompromising disease like acquired immune deficiency syndrome, is necessary to have knowledge of the different presenting features of various rare manifestation of tuberculosis. Young individuals are more prone to such lesion because lack of immunity, close grouping with infected patients and the general increased chances of varying presentation in such patients. This study groups together rare presentation of extrapulmonary tuberculosis of the head and neck region in an effort to increase the recognition of this disease.

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An Unusual Case of Primary Nasal Tuberculosis with Epistaxis and Epilepsy

Cited by 30 publications

References 8 publications

Epistaxis during a generalized seizure leading to an atypical ictal SPECT finding at the skull base

Epistaxis during a generalized seizure leading to an atypical ictal SPECT finding at the skull base

Primary Nasal Tuberculosis in a 10-Year-Old Girl

Extra pulmonary tuberculosis of the head and neck region in pediatric population

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