scholarly journals A Case of Delayed Myelopathy Caused by Atlantoaxial Subluxation without Fracture

2013 ◽  
Vol 2013 ◽  
pp. 1-4
Author(s):  
Ryo Takamatsu ◽  
Hiroshi Takahashi ◽  
Yuichiro Yokoyama ◽  
Fumiaki Terajima ◽  
Yasuhiro Inoue ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Swimming Pool ◽  
Atlantoaxial Subluxation ◽  
Bone Union ◽  
Atlantoaxial Joint ◽  
Cervical Pain ◽  
Ligament Injuries ◽  
X Ray ◽  
History Of ◽  
High Level

We report a case of delayed myelopathy caused by atlantoaxial subluxation without fracture. The patient was a 38-year-old male who became aware of weakness in extremities. The patient had a history of hitting his head severely while diving into a swimming pool at the age of 14 years old. At that time, cervical spine plain X-ray images showed no fracture, and the cervical pain disappeared after use of a collar for several weeks. At his first visit to our department, X-ray images showed an unstable atlantoaxial joint. After surgery, weakness of the extremities gradually improved. At 6 months after surgery, bone union was completed and the symptoms disappeared. This case shows that atlantoaxial ligament injuries are difficult to diagnose and may easily be missed. A high level of suspicion is important in such cases, since neurological compromise or deterioration may occur many years after the injury.

scholarly journals C1–2 facet disarticulation for correction of iatrogenic cervical kyphosis following occipital-cervical fusion

2020 ◽  
Vol 3 (1) ◽  
pp. V5
Author(s):  
Miki Katzir ◽  
Aboubakr T. Amer ◽  
Asad S. Akhter ◽  
Stephanus V. Viljoen ◽  
Ehud Mendel
Keyword(s):  
Cervical Spine ◽  
Atlantoaxial Instability ◽  
Preoperative Imaging ◽  
Cervical Pain ◽  
Cervical Fusion ◽  
Cervical Kyphosis ◽  
X Ray ◽  
History Of ◽  
Peg Tube ◽  
Progressive Dysphagia

The patient is a 69-year-old woman with a history of atlantoaxial instability and cervical pain who underwent an occipital-cervical fusion at an outside hospital. Five days following the procedure she required a PEG tube due to progressive dysphagia. Compared with preoperative imaging, x-ray shows cervical spine hyperextension with a significant decrease in the occipital–C2 angle. A swallow test confirmed aspiration and pharyngeal phase functional impairment. Two-stage surgery consisted of hardware removal, drilling the fused right C1–2 facet, reinstrumentation, and halo placement. The swallowing test confirmed there is no aspiration. We proceeded with rod placement. The patient recovered completely.The video can be found here: https://youtu.be/YzdJrOm46Y4

scholarly journals Tophaceous gout of the atlantoaxial joint: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Andrew Benjamin Romero ◽  
Evan Paul Johnson ◽  
John S. Kirkpatrick
Keyword(s):  
Cervical Spine ◽  
Tissue Sample ◽  
Significant Finding ◽  
Atlantoaxial Joint ◽  
Tophaceous Gout ◽  
Case Presentation ◽  
American College Of Rheumatology ◽  
European League Against Rheumatism ◽  
History Of ◽  
Clinically Significant

Abstract Background To report the occurrence of tophaceous gout in the cervical spine and to review the literature on spinal gout. Case presentation This report details the occurrence of a large and clinically significant finding of tophaceous gout in the atlantoaxial joint of the cervical spine in an 82-year-old Caucasian man with a 40-year history of crystal-proven gout and a 3-month history of new-onset progressive myelopathy. The patient's American College of Rheumatology/European League Against Rheumatism (ACR/EULAR) criteria score was 15.0. Conclusion Spinal gout is more common than previously thought, and it should be considered in patients who present with symptoms of myelopathy. Diagnosis can be made without a tissue sample of the affected joint(s) with tools like the ACR/EULAR criteria and the use of the “diagnostic clinical rule” for determining the likelihood of gout. Early conservative management with neck immobilization and medical management can avoid the need for surgical intervention.

scholarly journals Isolated Cervical Rib Fracture: A Rare Etiology of Thoracic Outlet Syndrome

2011 ◽  
Vol 2011 ◽  
pp. 1-2 ◽  
Author(s):  
Rayees Ahmad Dar ◽  
Sabiya Hamid Wani ◽  
Majid Mushtaque
Keyword(s):  
Cervical Spine ◽  
Postoperative Period ◽  
Thoracic Outlet Syndrome ◽  
Rib Fracture ◽  
Rare Entity ◽  
X Ray ◽  
Supraclavicular Approach ◽  
Cervical Rib ◽  
Isolated Fracture ◽  
History Of

Isolated fracture of a cervical rib is a very rare entity and usually presents as a painless swelling or as thoracic outlet syndrome. We describe a case of a 45-year-old woman with history of fall two months back. She presented with symptoms of neurogenic thoracic outlet syndrome for one month. Isolated left cervical rib fracture was documented on X-ray cervical spine. Her fractured cervical rib was resected through a supraclavicular approach, and symptoms resolved completely in the postoperative period.

Headache in a Random Sample of 200 Persons: A Clinical Study of a Population in Northern Finland

Cephalalgia ◽  
1981 ◽  
Vol 1 (2) ◽  
pp. 99-107 ◽  
Author(s):  
Rita Nikiforow
Keyword(s):  
Cervical Spine ◽  
Clinical Study ◽  
Family History ◽  
Positive Family History ◽  
Tension Headache ◽  
X Ray ◽  
Different Types ◽  
History Of ◽  
Cervical Spine Radiography ◽  
Unselected Population

Two hundred persons, randomly chosen out of 3,067 who had answered a headache questionnaire modified from Waters, were summoned to an interview and an examination performed by a neurologist. The aim was to obtain prevalence readings for different types of headaches in an unselected population. Simple blood studies and plain skull and cervical spine radiography were performed. The occurrence of headache was 77%, and the prevalence of migraine 9% in men and 28% in women. There was a higher prevalence of headache in women, accounted for solely by their higher frequency of vascular headaches, while the figure for tension headache was 35% for both sexes. Demographic factors did not influence the distribution of the headache types, except for a concentration of vascular headaches in women working in service occupations. A positive family history of migraine was reported significantly more often by persons with migraine than by others. The physical neurological examination, and the laboratory and X-ray investigations performed generally did not contribute to the diagnosis of the headache.

Spondylolisthesis of the cervical spine

1971 ◽  
Vol 34 (1) ◽  
pp. 99-101 ◽  
Author(s):  
John A. Dawley
Keyword(s):  
Cervical Spine ◽  
Content Type ◽  
X Ray ◽  
Congenital Origin ◽  
History Of ◽  
Fine Print

✓ A case of spondylolisthseis involving the cervical spine in an 11-year-old girl is reported. The age, x-ray appearance, and absence of history of trauma suggest a congenital origin.

Dysphagia and Dysphonia Secondary to Anterior Cervical Osteophytes

Neurosurgery ◽  
1986 ◽  
Vol 18 (1) ◽  
pp. 90-93 ◽  
Author(s):  
Greg Brandenberg ◽  
Lyal G. Leibrock
Keyword(s):  
Computed Tomography ◽  
Cervical Spine ◽  
Barium Swallow ◽  
X Ray ◽  
Solid Foods ◽  
The Past ◽  
Cervical Osteophytes ◽  
History Of ◽  
Progressive Dysphagia

Abstract A 77-year-old man presented with a 4-year history of progressive dysphagia to the point that he could no longer swallow solid foods. During the past several months, he had developed dysphonia. Cervical spine x-ray films demonstrated massive anterior degenerative osteophytic spurs between C-3 and C-7. Evaluation with barium swallow and cervical computed tomography demonstrated esophageal and laryngeal compression. Resection of the anterior osteophytes resolved the dysphagia and dysphonia.

scholarly journals Atlantoaxial subluxation in the pediatric patient: Case series and literature review

2020 ◽  
Vol 4 (2) ◽  
pp. 069-074
Author(s):  
Mazzola Catherine A ◽  
Christie Catherine ◽  
Snee Isabel A ◽  
Iqbal Hamail
Keyword(s):  
Cervical Spine ◽  
Imaging Techniques ◽  
Case Series ◽  
Atlantoaxial Subluxation ◽  
Upper Cervical Spine ◽  
Atlantoaxial Joint ◽  
Retrospective Case ◽  
Ligamentous Laxity ◽  
Halo Traction ◽  
Increased Risk

Objective: Atlantoaxial subluxation (AAS) occurs when there is misalignment of the atlantoaxial joint. Several etiologies confer increased risk of AAS in children, including neck trauma, inflammation, infection, or inherent ligamentous laxity of the cervical spine. Methods: A single-center, retrospective case review was performed. Thirty-four patients with an ICD-10 diagnosis of S13.1 were identified. Demographics and clinical data were reviewed for etiology, imaging techniques, treatment, and clinical outcome. Results: Out of thirty-four patients, twenty-two suffered cervical spine trauma, seven presented with Grisel’s Syndrome, four presented with ligamentous laxity, and one had an unrecognizable etiology. Most diagnoses of cervical spine subluxation and/or instability were detected on computerized tomography (CT), while radiography and magnetic resonance imaging (MRI) were largely performed for follow-up monitoring. Six patients underwent cervical spine fusion, five had halo traction, twelve wore a hard and/or soft collar without having surgery or halo traction, and eight were referred to physical therapy without other interventions. Conclusion: Pediatric patients with atlantoaxial subluxation may benefit from limited 3D CT scans of the upper cervical spine for accurate diagnosis. Conservative treatment with hard cervical collar and immobilization after reduction may be attempted, but halo traction and halo vest immobilization may be necessary. If non-operative treatment fails, cervical spine internal reduction and fixation may be necessary to maintain normal C1-C2 alignment.

Radiological safety and assessment of the performance of X-ray systems in veterinary facilities

2020 ◽  
Author(s):  
S. Economides ◽  
C.J. Hourdakis ◽  
C. Pafilis ◽  
G. Simantirakis ◽  
P. Tritakis ◽  
...  
Keyword(s):  
Decision Making ◽  
Radiation Protection ◽  
Atomic Energy Commission ◽  
Atomic Energy ◽  
Regulatory Control ◽  
Continuous Training ◽  
X Ray ◽  
The Public ◽  
Radiological Safety ◽  
High Level

This paper concerns an analysis regarding the performance of X-ray equipment as well as the radiological safety in veterinary facilities. Data were collected from 380 X-ray veterinary facilities countrywide during the on-site regulatory inspections carried out by the Greek Atomic Energy Commission. The analysis of the results shows that the majority of the veterinary radiographic systems perform within the acceptable limits; moreover, the design and shielding of X-ray rooms as well as the applied procedures ensure a high level of radiological safety for the practitioners, operators and the members of the public. An issue that requires specific attention in the optimization process for the proper implementation of veterinary radiology practices in terms of radiological safety is the continuous training of the personnel. The above findings and the regulatory experience gained were valuable decision-making elements regarding the type of the regulatory control of veterinary radiology practices in the new radiation protection framework.

Der Einfluß der Inaktivitätsosteoporose auf die szintigraphische Darstellung knöcherner Verletzungen im Bereich des Handgelenks

1989 ◽  
Vol 28 (04) ◽  
pp. 124-128 ◽  
Author(s):  
J. Spitz ◽  
N. Clemenz ◽  
K. Tittel ◽  
H. Weigand
Keyword(s):  
Bone Scintigraphy ◽  
Plaster Cast ◽  
Scaphoid Bone ◽  
X Ray ◽  
The Third ◽  
High Level ◽  
Clinical Conditions ◽  
Rate Of Accumulation

In addition to its established oncological indications the sensitivity of bone scintigraphy is of steadily increasing significance in traumatology. Inactivity- induced osteoporosis plays a major role during the immobilization period in the plaster cast. In the region of the joints remodelling intensity may reach such a high level that the non-injured bone shows a higher rate of accumulation than the fracture. This process already begins between the third and fourth week of immobilization. The highest uptake is found after fracture of the scaphoid bone at the end of twelve weeks of immobilization. Control scintigraphies at intervals of several days are indicated to differentiate between various clinical conditions (pseudoarthrosis, activated osteoarthrosis, algodystrophy in case of doubtful x-ray results).

Lingual Dystonia Treated with Botulinum Toxin - A Case Report

1970 ◽  
Vol 24 (2) ◽  
pp. 75-78
Author(s):  
MA Hayee ◽  
QD Mohammad ◽  
H Rahman ◽  
M Hakim ◽  
SM Kibria
Keyword(s):  
Botulinum Toxin ◽  
Botulinum Toxin A ◽  
Botulinum Toxin Type A ◽  
Botulinum Toxin Type ◽  
X Ray ◽  
Medical College ◽  
Lingual Dystonia ◽  
History Of ◽  
Chest X Ray

A 42-year-old female presented in Neurology Department of Sir Salimullah Medical College with gradually worsening difficulty in talking and eating for the last four months. Examination revealed dystonic tongue, macerated lips due to continuous drooling of saliva and aspirated lungs. She had no history of taking antiparkinsonian, neuroleptics or any other drugs causing dystonia. Chest X-ray revealed aspiration pneumonia corrected later by antibiotics. She was treated with botulinum toxin type-A. Twenty units of toxin was injected in six sites of the tongue. The dystonic tongue became normal by 24 hours. Subsequent 16 weeks follow up showed very good result and the patient now can talk and eat normally. (J Bangladesh Coll Phys Surg 2006; 24: 75-78)

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