Calvarial tuberculosis: Uncommon manifestation of common disease – a series of 21 cases

Ramdurg, Shashank Ravindra; Gupta, Deepak; Suri, Ashish; Sharma, Bhavani Shankar; Mahapatra, Ashok Kumar

doi:10.3109/02688697.2010.495166

Cited by 29 publications

(12 citation statements)

References 10 publications

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“…Calvarial TB arises from bacilli seeding from diploic channels, while the balance of virulence and host immune response changes capillary obliteration and granulation begins through fibroblasts (8). Frontal and parietal bones are often affected due to the greater amount of cancellous bone with diploic channels in these bones, however, occipital and spheoid bones are less frequently affected (2,9,10). Dura mater is highly resistant to invasion (5,6).…”

Section: Discussionmentioning

confidence: 99%

Primary Calvarial Tuberculosis Presenting with Scalp Swelling and Lytic Bone Lesion: A Case Report

Akpinar¹,

Erdoğan²,

Koçyiğit³

2018

Haseki

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Calvarial tuberculosis is a rare entity in developed countries. Even though it is a rare occurrence, the incidence of calvarial tuberculosis is increasing in developed countries because of migration from developing countries with poor socio-economic conditions, shortage of food, and high prevalence of immunodeficiency diseases. The disease mostly involves frontal and parietal bones and presents with painless swelling of the scalp. Plain X-ray and computed tomography scans show lytic calvarial lesions, and both computed tomography and magnetic resonance imaging can demonstrate parenchymal involvement of soft tissue. Surgery and antitubercular therapy are classical treatments. We present a 33-year-old male with painless scalp swelling and a lytic bone lesion.

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Section: Discussionmentioning

confidence: 99%

Primary Calvarial Tuberculosis Presenting with Scalp Swelling and Lytic Bone Lesion: A Case Report

Akpinar¹,

Erdoğan²,

Koçyiğit³

2018

Haseki

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“…[389] The need for surgery in our case was inevitable with an epidural collection causing midline shift and discharging sinus. Most cases in the rural setup present like the reported case.…”

Section: Discussionmentioning

confidence: 99%

“…[10] Primary skull involvement is a rare form of skeletal tuberculosis with few retrospective series offering insights. [389] We report a rare case of primary tuberculous osteomyelitis with epidural abscess causing midline shift and discharging sinus of scalp. The disease progression was arrested with anti-tuberculous therapy, and the patient improved symptomatically.…”

Section: Introductionmentioning

confidence: 99%

Primary calvarial tuberculosis

Sridharan

Balasubramanian

2017

Surg Neurol Int

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Background:Tuberculosis is a very common disease in India. Its prevalence, capacity to affect every other organ, and atypical presentations make it an important part of the differential diagnosis for cases presenting in the rural setup. Primary tuberculous caries of the calvarium is a rare manifestation of this common entity.Case Description:A young lady presented with headache and discharging sinus of the scalp. Imaging revealed epidural abscess with midline shift. She underwent surgery, and histopathological diagnosis of tuberculous etiology was made. The pre and intraoperative images, radiological images, and histopathological images are reported and discussed.Conclusion:Tuberculosis should be included in the differential diagnosis of the osteolytic lesions of skull with discharging sinus. A high degree of suspicion, especially in patients from low socioeconomic status, is warranted in managing such cases.

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“…31 Vertebral compression is usually anteriorly, although posterior cord compression due to tuberculous osteitis in the laminae and pedicles can occur. Epidural tuberculomas can be confused with tumours.…”

Section: Peripheral Radiculopathy/neuropathymentioning

confidence: 98%