Bilateral Vertebral Artery Occlusion Secondary to Atlantoaxial Dislocation with Os Odontoideum: Implication for Prophylactic Cervical Stabilization by Fusion : Case Report
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概要
- 論文の詳細を見る
A 27-year-old male presented with an unusual atlantoaxial dislocation associated with os odontoideum, after suffering sudden onset of significant neurological deterioration. Angiography demonstrated simultaneous occlusion of the bilateral vertebral arteries assumed responsible for the devastating neurological deficits. He initially underwent cervical immobilization with a Crutchfield tong for 2 months and subsequent posterior fusion using an iliac bone graft and wires. The neurological symptoms gradually subsided, and 5 years later good healing of the bone graft without instability and ample subarachnoid space around the spinal cord were radiologically confirmed. Early prophylactic stabilization of atlantoaxial dislocation due to os odontoideum is recommended to prevent a poor outcome. Careful angiographic evaluation of the vertebrobasilar circulation is important for management of patients with os odontoideum.
- 日本脳神経外科学会の論文
- 1993-11-15
著者
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WATANABE Kazuo
Department of Pathology, Fukushima Medical University Hospital
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NAKAGAWA Hiroshi
Department of Pediatrics, Sendai City Hospital
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Nakagawa Hiroshi
Department Of Diagnostic Ultrasound And Medical Electronics Sapporo Medical University
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KOWADA Masayoshi
Neurosurgical Service, Akita University School of Medicine
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Kowada Masayoshi
Neurosurgical Service Akita University Hospital
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KIKUCHI Kenji
Neurosurgical Service, Akita University Hospital
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Watanabe Kazuo
Department Of Pathology Fukushima Medical University Hospital
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Kikuchi Kenji
Neurosurgical Service Akita University Hospital
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Watanabe Kazuo
Department Of Neurosurgery Southern Tohoku Research Institute For Neuroscience
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Watanabe Kazuo
Department Of Biology Faculty Of Science Osaka University
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Nakagawa Hiroshi
Department Of Biological Sciences Tokyo Institute Of Technology
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Nakagawa Hiroshi
Department Of Neurosurgery Aichi Medical University
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