Background: Tuberculosis (TB) is a worldwide health problem. Extrapulmonary manifestations of TB are common with skeletal system involvement being the most frequent. Spinal TB accounts for 50% of these cases. Case report: Colombian male patient, 66-years-old, without any medical antecedent of interest, who after traumatic brain injury developed cervical pain, and cervicalmovement limitation. Cervical MRI revealed an osteolytic process in the odontoid process, which was biopsied transorally. Histological analysis showed chronic granulomatous type of inflammation with caseous necrosis in addition to nonspecific lymphoplasm infiltrate, suggestive of tuberculous origin. Patient was conservative managed. Conclusions: It is vital to maintaina high degree of clinical suspicion for diagnosis of spinal TB when the location of spinal TB is cervical, and specifically suboccipital. This can be suspected when patient refers to pain, with the previously mentioned characteristics. Conservative management and closely follow up is recommended, but when not improved with conservative therapy, or when paralysis isevident, surgery is indicated.
Delayed onset isolated post-traumatic sixth nerve palsy due to trendelenburg position: an unusual cause
