Primary Spheno- Clival tuberculoma – rare lesion

Abstract

Tuberculosis (TB) is caused by M tuberculosis and atypical mycobacteria is very common in India. Reasons being poor socio-economic condition, overcrowding and poor nutrition. Only 1-2 % of these patients have skeletal or bony involvement. Half of these patient have spinal involvement. Cranio‑ Vertebral Junction (CVJ) TB accounts for only 0.3–1% of all spinal TB [1]. But primary tuberculoma of clivus sparing craniovertebral junction is rarely reported. Only 4 cases of primary tuberculoma of clivus without any systemic involvement have been reported in literature. These patients need urgent surgical intervention followed by medical management before it develops tubercular meningitis. So, we report a rare case of spheno clival tuberculosis in a paediatric patient, also difficulty in diagnosis and management of same.