IR@PKUHSC  > 北京大学第三临床医学院  > 骨科
学科主题临床医学
Syringomyelia with irreducible atlantoaxial dislocation, basilar invagination and Chiari I malformation
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
2010-03-01
DOI10.1007/s00586-009-1208-1
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
引用统计
被引频次:14[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/51883
专题北京大学第三临床医学院_骨科
作者单位Peking Univ, Dept Orthopaed, Hosp 3, Beijing 100191, Peoples R China
推荐引用方式
GB/T 7714
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.
APA Wang, Shenglin,Wang, Chao,Yan, Ming,Zhou, Haitao,&Jiang, Liang.(2010).Syringomyelia with irreducible atlantoaxial dislocation, basilar invagination and Chiari I malformation.EUROPEAN SPINE JOURNAL,19(3),361-366.
MLA Wang, Shenglin,et al."Syringomyelia with irreducible atlantoaxial dislocation, basilar invagination and Chiari I malformation".EUROPEAN SPINE JOURNAL 19.3(2010):361-366.
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