Atlanto Axial Rotatory Dislocation in Adults: A Rare Complication of an Epileptic Seizure—Case Report

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概要

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• Atlanto Axial Rotatory Dislocations (AARDs) are a heterogeneous group of post-traumatic pathologies typical of the pediatric age, and rare in adults. We describe the case of a 34-year-old woman, developing Atlanto Axial Rotatory Fixation (AARF) after a generalized tonic-clonic epileptic seizure, an extremely rare traumatic cause never described in literature. AARF was detected only 1 month after the accident and nonsurgical treatment was attempted at the beginning. The patient underwent surgery only 2 months after the accident. The best treatment should be conservative reduction within 1 month; when it is not possible, it is advisable to perform surgery as soon as possible. C1–C2 fixation with Harm's technique is the gold standard for fixed luxations. Delay of treatment makes intraoperative reduction more difficult and increase the establishment of the chronic permanent change of neck muscles and ligaments.

• 社団法人 日本脳神経外科学会の論文

著者

• Delfini Roberto

  Department Of Neurological Sciences Neurosurgery University Of Rome "la Sapienza

• DONNARUMMA Pasquale

  Department of Neurosurgery, Sapienza University of Rome

• MAROTTA Nicola

  Department of Neurosurgery, Sapienza University of Rome

• TARANTINO Roberto

  Department of Neurosurgery, Sapienza University of Rome

• MISSORI Paolo

  Department of Neurosurgery, Sapienza University of Rome

• VIOZZI Ilaria

  Department of Neurosurgery, Sapienza University of Rome

• LANDI Alessandro

  Department of Neurosurgery, Sapienza University of Rome

関連論文

• Multilevel Oblique Corpectomy Without Fusion : Our Experience in 48 Patients
• Atlanto Axial Rotatory Dislocation in Adults: A Rare Complication of an Epileptic Seizure—Case Report

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