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Isolated neural arch tuberculosis with tuberculomas: case report

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Abstract

We reported a case of atypical spinal tuberculosis on the posterior elements of lumbar spine in a 52-year-old female. It was easy to be misdiagnosed as spinal tumor due to its imaging characteristics. We performed puncture biopsy to initially consider tuberculosis, and then the patient was accepted surgical treatment. The intraoperative removed specimen was sent to pathological examination, microbial culture, Xpert MTB/RIF and metagenomic next-generation sequencing (mNGS) and then the diagnosis of neural arch tuberculosis was confirmed. After operation, the patient obtained stable effect by anti-tuberculosis drug treatment. In a word, the uncommon case had an important reference significance for the diagnosis of atypical spine tuberculosis and differentiation from spinal tumors. It is critical to make right preliminary diagnosis by appropriate examination as it determined the next diagnosis and treatment in special and rare clinical cases.

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The datasets presented in this article are not readily available due to ethical and privacy restrictions. Requests to access the datasets should be directed to the corresponding authors.

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Funding

This work was funded by the Hunan Province Natural Science Foundation of China (No. 2020JJ4913), Research project on postgraduate education and teaching reform of Central South University (No.2021JGB082), Graduate course ideological and political construction project of Central South University (No. 2022YJSKS032).

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Authors and Affiliations

  1. Department of Spine Surgery and Orthopaedics, Xiangya Spinal Surgery Center, Xiangya Hospital of Central South University, Xiang Ya Road 87, Changsha, 410008, Hunan Province, China

    Shun-Tian Xiao, Hong-Qi Zhang & Yu-Xiang Wang

  2. National Clinical Research Center for Geriatric Disorder, Xiangya Hospital of Central South University, Changsha, 410008, Hunan Province, China

    Shun-Tian Xiao, Hong-Qi Zhang & Yu-Xiang Wang

Authors
  1. Shun-Tian Xiao
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  2. Hong-Qi Zhang
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  3. Yu-Xiang Wang
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Corresponding author

Correspondence to Yu-Xiang Wang.

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Ethics statement

The studies involving human participants were reviewed and approved by Ethics Committee of Xiangya Hospital, Central South University. The patients/participants provided their written informed consent to participate in this study. Written informed consent was obtained from the individual(s) for the publication of any potentially identifiable images or data included in this article.

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Xiao, ST., Zhang, HQ. & Wang, YX. Isolated neural arch tuberculosis with tuberculomas: case report. Skeletal Radiol 53, 1417–1421 (2024). https://doi.org/10.1007/s00256-023-04450-0

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  • DOI: https://doi.org/10.1007/s00256-023-04450-0

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