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IR@PKUHSC  > 北京大学第三临床医学院  > 骨科  > 期刊论文
学科主题: 临床医学
题名:
Syringomyelia with irreducible atlantoaxial dislocation, basilar invagination and Chiari I malformation
作者: Wang, Shenglin; Wang, Chao; Yan, Ming; Zhou, Haitao; Jiang, Liang
关键词: Syringomyelia ; Irreducible atlantoaxial dislocation ; Basilar invagination ; Surgery ; Transoral release
刊名: EUROPEAN SPINE JOURNAL
发表日期: 2010-03-01
DOI: 10.1007/s00586-009-1208-1
卷: 19, 期:3, 页:361-366
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Clinical Neurology ; Orthopedics
研究领域[WOS]: Neurosciences & Neurology ; Orthopedics
关键词[WOS]: DISTRACTION ; FIXATION
英文摘要:

A 27-year-old woman presented with bilateral weakness of her all extremities for 5 years. She had a spastic gait and was unable to ambulate without assistance. Neurologic examination revealed increased deep tendon reflexes and positive pathologic reflexes. Radiographs showed occipitalization of the atlas, C2-C3 congenital fusion and fixed atlantoaxial dislocation with an atlanto-dental interval of 10 mm. MRI demonstrated cervicomedullary junction (CMJ) compression from the odontoid, a Chiari type I malformation, and syringomyelia extending from the foramen magnum to C5. The patient underwent transoral atlantoaxial release followed by posterior internal fixation from the occiput to the axis, which resulted in a significant improvement in motor function in all extremities. Post-operative images showed anatomical reduction of the atlantoaxial joint. However, an MRI performed 8 days following surgery showed a new retro-odontoid pannus had developed that was compressing the spinal cord at CMJ. A follow-up CT scan performed at 6 months post-operatively demonstrated a solid bony fusion between the occiput and C2, while an MRI at that time showed complete resolution of the retro-odontoid soft tissue mass with correction of the Chiari I malformation, and resolution of the syringomyelia. Final follow-up at 2-years revealed an excellent clinical outcome.

语种: 英语
WOS记录号: WOS:000275424100001
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/51883
Appears in Collections:北京大学第三临床医学院_骨科_期刊论文

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作者单位: Peking Univ, Dept Orthopaed, Hosp 3, Beijing 100191, Peoples R China

Recommended Citation:
Wang, Shenglin,Wang, Chao,Yan, Ming,et al. Syringomyelia with irreducible atlantoaxial dislocation, basilar invagination and Chiari I malformation[J]. EUROPEAN SPINE JOURNAL,2010,19(3):361-366.
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