Intraoperative Computed Tomography for Cervicomedullary Decompression of Foramen Magnum Stenosis in Achondroplasia: Two Case Reports

The authors report two cases of cervicomedullary decompression of foramen magnum (FM) stenosis in children with achondroplasia using intraoperative computed tomography (iCT). A 14-month-old girl with myelopathy and retarded motor development, and a 10-year-old girl who had already undergone incomple...

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Autores principales: Arishima, Hidetaka, Tsunetoshi, Kenzo, Kodera, Toshiaki, Kitai, Ryuhei, Takeuchi, Hiroaki, Kikuta, Ken-ichiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japan Neurosurgical Society 2013
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4508731/
https://www.ncbi.nlm.nih.gov/pubmed/24140778
http://dx.doi.org/10.2176/nmc.cr2012-0421
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author Arishima, Hidetaka
Tsunetoshi, Kenzo
Kodera, Toshiaki
Kitai, Ryuhei
Takeuchi, Hiroaki
Kikuta, Ken-ichiro
author_facet Arishima, Hidetaka
Tsunetoshi, Kenzo
Kodera, Toshiaki
Kitai, Ryuhei
Takeuchi, Hiroaki
Kikuta, Ken-ichiro
author_sort Arishima, Hidetaka
collection PubMed
description The authors report two cases of cervicomedullary decompression of foramen magnum (FM) stenosis in children with achondroplasia using intraoperative computed tomography (iCT). A 14-month-old girl with myelopathy and retarded motor development, and a 10-year-old girl who had already undergone incomplete FM decompression was presented with myelopathy. Both patients underwent decompressive sub-occipitalcraniectomy and C1 laminectomy without duraplasty using iCT. It clearly showed the extent of FM decompression during surgery, which finally enabled sufficient decompression. After the operation, their myelopathy improved. We think that iCT can provide useful information and guidance for sufficient decompression for FM stenosis in children with achondroplasia.
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spelling pubmed-45087312015-11-05 Intraoperative Computed Tomography for Cervicomedullary Decompression of Foramen Magnum Stenosis in Achondroplasia: Two Case Reports Arishima, Hidetaka Tsunetoshi, Kenzo Kodera, Toshiaki Kitai, Ryuhei Takeuchi, Hiroaki Kikuta, Ken-ichiro Neurol Med Chir (Tokyo) Case Report The authors report two cases of cervicomedullary decompression of foramen magnum (FM) stenosis in children with achondroplasia using intraoperative computed tomography (iCT). A 14-month-old girl with myelopathy and retarded motor development, and a 10-year-old girl who had already undergone incomplete FM decompression was presented with myelopathy. Both patients underwent decompressive sub-occipitalcraniectomy and C1 laminectomy without duraplasty using iCT. It clearly showed the extent of FM decompression during surgery, which finally enabled sufficient decompression. After the operation, their myelopathy improved. We think that iCT can provide useful information and guidance for sufficient decompression for FM stenosis in children with achondroplasia. The Japan Neurosurgical Society 2013-12 2013-10-21 /pmc/articles/PMC4508731/ /pubmed/24140778 http://dx.doi.org/10.2176/nmc.cr2012-0421 Text en © 2013 The Japan Neurosurgical Society This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-nd/4.0/
spellingShingle Case Report
Arishima, Hidetaka
Tsunetoshi, Kenzo
Kodera, Toshiaki
Kitai, Ryuhei
Takeuchi, Hiroaki
Kikuta, Ken-ichiro
Intraoperative Computed Tomography for Cervicomedullary Decompression of Foramen Magnum Stenosis in Achondroplasia: Two Case Reports
title Intraoperative Computed Tomography for Cervicomedullary Decompression of Foramen Magnum Stenosis in Achondroplasia: Two Case Reports
title_full Intraoperative Computed Tomography for Cervicomedullary Decompression of Foramen Magnum Stenosis in Achondroplasia: Two Case Reports
title_fullStr Intraoperative Computed Tomography for Cervicomedullary Decompression of Foramen Magnum Stenosis in Achondroplasia: Two Case Reports
title_full_unstemmed Intraoperative Computed Tomography for Cervicomedullary Decompression of Foramen Magnum Stenosis in Achondroplasia: Two Case Reports
title_short Intraoperative Computed Tomography for Cervicomedullary Decompression of Foramen Magnum Stenosis in Achondroplasia: Two Case Reports
title_sort intraoperative computed tomography for cervicomedullary decompression of foramen magnum stenosis in achondroplasia: two case reports
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4508731/
https://www.ncbi.nlm.nih.gov/pubmed/24140778
http://dx.doi.org/10.2176/nmc.cr2012-0421
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