Unstable os odontoideum contributing to cervical myelopathy and obstructive sleep apnea

BACKGROUND: Sleep apnea is characterized by repetitive cessation of breathing during sleep. It may be attributed to obstructive, central, or mixed pathologies close to the upper airway resulting in a decreased diameter of the oropharyngeal tract. CASE DESCRIPTION: A 36-year-old male with progressive...

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Detalles Bibliográficos
Autores principales: Rahimizadeh, Abolfazl, Malekmohammadi, Zahed, Karimi, Mona, Rahimizadeh, Ava, Asgari, Naser
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Scientific Scholar 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6744766/
https://www.ncbi.nlm.nih.gov/pubmed/31528461
http://dx.doi.org/10.25259/SNI-308-2019
Descripción
Sumario:BACKGROUND: Sleep apnea is characterized by repetitive cessation of breathing during sleep. It may be attributed to obstructive, central, or mixed pathologies close to the upper airway resulting in a decreased diameter of the oropharyngeal tract. CASE DESCRIPTION: A 36-year-old male with progressive cervicomedullary myelopathy/quadriparesis exhibited obstructive sleep apnea (OSA) attributed to an anteriorly displaced os odontoideum (OO). Atlantoaxial screw-rod stabilization resulted in improvement of both neurological function and OSA. CONCLUSION: A symptomatic unstable OO may contribute to suboccipital pain, progressive quadriparesis, vertebrobasilar insufficiency, and OSA. Appropriate operative intervention utilizing atlantoaxial screw-rod stabilization may help to resolve these deficits.

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