结核病（TB）是一种高度传染的疾病，主要影响肺部，但在淋巴或血液传播时也可能出现肺外受累。骨骼受累通常涉及脊柱，但颈椎椎体受累很少见。我们报告了一位23岁女性患者，她仅抱怨四肢无力和颈部疼痛，前来医院就诊。颈椎磁共振成像显示一种外周增强病变，发生在颈椎后部，并引起压迫性脊髓病变。手术减压时发现干酪样渗出物。她的干扰素-γ释放试验为阳性后，迅速开始了抗结核治疗。晚期培养结果证实诊断为孤立性颈椎结核。应及时意识到和开始治疗椎体结核，因为临床表现可能会模仿其他感染和恶性病因。版权所有©2023年Mahmoud等人。

Tuberculosis (TB) is a highly infectious disease that primarily affects the lungs, but extrapulmonary affection can occur with lymphatic or hematogenous spread. Skeletal affection commonly involves the spine, but cervical vertebral affection is rare. We report a 23-year-old female patient who presented to the hospital with diffuse limb weakness and neck pain as the only complaints. MRI of the cervical spine revealed a peripherally enhancing lesion arising from the posterior aspects of the cervical vertebrae with compressive myelopathy. She underwent surgical decompression and was noted to have caseous drainage during the procedure. She was started promptly on anti-tuberculous therapy after she had a positive interferon-gamma release assay. Late culture results confirmed isolated cervical TB of the vertebrae as the diagnosis. Prompt awareness and initiation of treatment for vertebral TB are necessary as clinical presentation can mimic other infectious and malignant etiologies.Copyright © 2023, Mahmoud et al.