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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 50 - 54 (5page)
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초록· 키워드
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A case of acute quadriplegia resulting from reduction of atlantoaxial subluxation due toos odontoideum is rare. Patient with os odontoideum are at a greater risk for atlantoaxialinstability and resultant spinal cord compression. In our case, the patient exhibited mildmyelopathic symptoms before the onset of acute quadriplegia. Owing to the clinicalpresentations, the spinal cord not only seemed to suffer a mechanical compression but alsoan insufficiency of blood supply to the spinal artery and its branches. No other report hasdescribed the fndings from magnetic resonance imaging before and afer the onset of acutemyelopathy afer surgery. The aim of our case report is to highlight the pathophysiology andappropriate management strategy of a patient with severe progressive spinal cord myelopathyafer surgery, secondary to chronic atlantoaxial subluxation due to os odontoideum. This case depicts the presence of this rare yet possible complication, and emphasizesthe importance of preoperative evaluation in cases with chronic progressive myelopathy. Moreover, urgent postoperative treatment and rehabilitation are important for the recovery ofneurological symptoms.
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등록된 정보가 없습니다.
참고문헌 (8)
참고문헌 신청
Arvin B / 2010 / Os odontoideum : etiology and surgical management / Neurosurgery 66:22~31
Bach CM / 2013 / Treatment strategies for severe C1C2 luxation due to congenital os odontoideum causing tetraplegia / Eur Spine J 22:29~35
Fercakova A / 1992 / Graded postischemic reoxygenation reduces lipid peroxidation and reperfusion injury in the rabbit spinal cord / Brain Res 593:159~167
Hasegawa K / 2007 / Upper extremity palsy following cervical decompression surgery results from a transient spinal cord lesion / Spine (Phila Pa 1976) 32:E197~E202
Klimo P Jr / 2008 / and treatment in a series of 78 patients / J Neurosurg Spine 9:332~342
Bach CM / 2013 / Treatment strategies for severe C1C2 luxation due to congenital os odontoideum causing tetraplegia / Eur Spine J 22:29~35
Fercakova A / 1992 / Graded postischemic reoxygenation reduces lipid peroxidation and reperfusion injury in the rabbit spinal cord / Brain Res 593:159~167
Hasegawa K / 2007 / Upper extremity palsy following cervical decompression surgery results from a transient spinal cord lesion / Spine (Phila Pa 1976) 32:E197~E202
Klimo P Jr / 2008 / and treatment in a series of 78 patients / J Neurosurg Spine 9:332~342
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