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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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
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author Rahimizadeh, Abolfazl
Malekmohammadi, Zahed
Karimi, Mona
Rahimizadeh, Ava
Asgari, Naser
author_facet Rahimizadeh, Abolfazl
Malekmohammadi, Zahed
Karimi, Mona
Rahimizadeh, Ava
Asgari, Naser
author_sort Rahimizadeh, Abolfazl
collection PubMed
description 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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spelling pubmed-67447662019-09-16 Unstable os odontoideum contributing to cervical myelopathy and obstructive sleep apnea Rahimizadeh, Abolfazl Malekmohammadi, Zahed Karimi, Mona Rahimizadeh, Ava Asgari, Naser Surg Neurol Int Case Report 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. Scientific Scholar 2019-06-28 /pmc/articles/PMC6744766/ /pubmed/31528461 http://dx.doi.org/10.25259/SNI-308-2019 Text en Copyright: © 2019 Surgical Neurology International http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Case Report
Rahimizadeh, Abolfazl
Malekmohammadi, Zahed
Karimi, Mona
Rahimizadeh, Ava
Asgari, Naser
Unstable os odontoideum contributing to cervical myelopathy and obstructive sleep apnea
title Unstable os odontoideum contributing to cervical myelopathy and obstructive sleep apnea
title_full Unstable os odontoideum contributing to cervical myelopathy and obstructive sleep apnea
title_fullStr Unstable os odontoideum contributing to cervical myelopathy and obstructive sleep apnea
title_full_unstemmed Unstable os odontoideum contributing to cervical myelopathy and obstructive sleep apnea
title_short Unstable os odontoideum contributing to cervical myelopathy and obstructive sleep apnea
title_sort unstable os odontoideum contributing to cervical myelopathy and obstructive sleep apnea
topic Case Report
url 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
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