A Case of Delayed Myelopathy Caused by Atlantoaxial Subluxation without Fracture

We report a case of delayed myelopathy caused by atlantoaxial subluxation without fracture. The patient was a 38-year-old male who became aware of weakness in extremities. The patient had a history of hitting his head severely while diving into a swimming pool at the age of 14 years old. At that tim...

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Autores principales: Takamatsu, Ryo, Takahashi, Hiroshi, Yokoyama, Yuichiro, Terajima, Fumiaki, Inoue, Yasuhiro, Fukutake, Katsunori, Wada, Akihito
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2013
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3628490/
https://www.ncbi.nlm.nih.gov/pubmed/23607019
http://dx.doi.org/10.1155/2013/421087
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author Takamatsu, Ryo
Takahashi, Hiroshi
Yokoyama, Yuichiro
Terajima, Fumiaki
Inoue, Yasuhiro
Fukutake, Katsunori
Wada, Akihito
author_facet Takamatsu, Ryo
Takahashi, Hiroshi
Yokoyama, Yuichiro
Terajima, Fumiaki
Inoue, Yasuhiro
Fukutake, Katsunori
Wada, Akihito
author_sort Takamatsu, Ryo
collection PubMed
description We report a case of delayed myelopathy caused by atlantoaxial subluxation without fracture. The patient was a 38-year-old male who became aware of weakness in extremities. The patient had a history of hitting his head severely while diving into a swimming pool at the age of 14 years old. At that time, cervical spine plain X-ray images showed no fracture, and the cervical pain disappeared after use of a collar for several weeks. At his first visit to our department, X-ray images showed an unstable atlantoaxial joint. After surgery, weakness of the extremities gradually improved. At 6 months after surgery, bone union was completed and the symptoms disappeared. This case shows that atlantoaxial ligament injuries are difficult to diagnose and may easily be missed. A high level of suspicion is important in such cases, since neurological compromise or deterioration may occur many years after the injury.
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spelling pubmed-36284902013-04-19 A Case of Delayed Myelopathy Caused by Atlantoaxial Subluxation without Fracture Takamatsu, Ryo Takahashi, Hiroshi Yokoyama, Yuichiro Terajima, Fumiaki Inoue, Yasuhiro Fukutake, Katsunori Wada, Akihito Case Rep Orthop Case Report We report a case of delayed myelopathy caused by atlantoaxial subluxation without fracture. The patient was a 38-year-old male who became aware of weakness in extremities. The patient had a history of hitting his head severely while diving into a swimming pool at the age of 14 years old. At that time, cervical spine plain X-ray images showed no fracture, and the cervical pain disappeared after use of a collar for several weeks. At his first visit to our department, X-ray images showed an unstable atlantoaxial joint. After surgery, weakness of the extremities gradually improved. At 6 months after surgery, bone union was completed and the symptoms disappeared. This case shows that atlantoaxial ligament injuries are difficult to diagnose and may easily be missed. A high level of suspicion is important in such cases, since neurological compromise or deterioration may occur many years after the injury. Hindawi Publishing Corporation 2013 2013-04-02 /pmc/articles/PMC3628490/ /pubmed/23607019 http://dx.doi.org/10.1155/2013/421087 Text en Copyright © 2013 Ryo Takamatsu et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Takamatsu, Ryo
Takahashi, Hiroshi
Yokoyama, Yuichiro
Terajima, Fumiaki
Inoue, Yasuhiro
Fukutake, Katsunori
Wada, Akihito
A Case of Delayed Myelopathy Caused by Atlantoaxial Subluxation without Fracture
title A Case of Delayed Myelopathy Caused by Atlantoaxial Subluxation without Fracture
title_full A Case of Delayed Myelopathy Caused by Atlantoaxial Subluxation without Fracture
title_fullStr A Case of Delayed Myelopathy Caused by Atlantoaxial Subluxation without Fracture
title_full_unstemmed A Case of Delayed Myelopathy Caused by Atlantoaxial Subluxation without Fracture
title_short A Case of Delayed Myelopathy Caused by Atlantoaxial Subluxation without Fracture
title_sort case of delayed myelopathy caused by atlantoaxial subluxation without fracture
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3628490/
https://www.ncbi.nlm.nih.gov/pubmed/23607019
http://dx.doi.org/10.1155/2013/421087
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