The patient came to the
clinic 27-December-2005 complaining of neck and right upper limb
pain for 2 years with exacerbation of the pain the last 2 months.
MRI performed 26-December-2005 showing bulging disci C4-5 and C5-6
with a mass at the level of C5 lamina compressing the spinal cord
from behind causing malacia of the spinal cord, located extradurally
mideolateral to the right. On examination; the patient had severe
weak grip and extension of the right hand with weak right triceps
muscle and hypalgesia of the entire right hand.
The patient was operated: from posterior approach
drilling of the C5 lamina and partially of C4 and 6 was done form
the right side. The mass was adherent to the dura and it was
necessary to use sharp dissection to separate it from the dura. It
was giving seed to the right C6 root, for what, foraminotomy of C6
was performed to remove all the pathologic suspected masses, which
resemble a grnulomatous character. Routine closure. The lesion was
sent for histologic studies.
Uneventful postoperative course.
The patient came 08-January-2006 with good
recovery of her neurological status with the pathological result
confirming tuberculous granulomatous character of the lesion. The
patient was sent to undergo treatment for tb.