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Resolution of retro-odontoid cyst in a patient with atlanto-occipital assimilation after occipitocervical fixation
BACKGROUND: Fusion of the atlas with the lower part of the occiput is clinically known as atlanto-occipital assimilation (AOA) or atlas occipitalization. This can be either partial or complete depending on the extent of fusion. AOA is one of the most common congenital anomalies of the craniovertebra...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Scientific Scholar
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7881517/ https://www.ncbi.nlm.nih.gov/pubmed/33598350 http://dx.doi.org/10.25259/SNI_688_2020 |
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author | Kawanishi, Masahiro Ito, Yutaka Tanaka, Hidekazu Yokoyama, Kunio Yamada, Makoto Sugie, Akira |
author_facet | Kawanishi, Masahiro Ito, Yutaka Tanaka, Hidekazu Yokoyama, Kunio Yamada, Makoto Sugie, Akira |
author_sort | Kawanishi, Masahiro |
collection | PubMed |
description | BACKGROUND: Fusion of the atlas with the lower part of the occiput is clinically known as atlanto-occipital assimilation (AOA) or atlas occipitalization. This can be either partial or complete depending on the extent of fusion. AOA is one of the most common congenital anomalies of the craniovertebral junction and is usually asymptomatic. CASE DESCRIPTION: An 80-year-old female presented with a retro-odontoid cyst in conjunction with AOA. Following posterior occipitocervical fixation without resection of the cyst, the patient improved, and the postoperative MR documented cyst resolution. CONCLUSION: Patients with AOA and a retro-odontoid cyst may be successfully managed with occipitocervical fixation without resection of the cyst. However, we would recommend preoperative computed tomography angiography to document whether the vertebral artery follows an anomalous course to avoid an intraoperative neurovascular injury. |
format | Online Article Text |
id | pubmed-7881517 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Scientific Scholar |
record_format | MEDLINE/PubMed |
spelling | pubmed-78815172021-02-16 Resolution of retro-odontoid cyst in a patient with atlanto-occipital assimilation after occipitocervical fixation Kawanishi, Masahiro Ito, Yutaka Tanaka, Hidekazu Yokoyama, Kunio Yamada, Makoto Sugie, Akira Surg Neurol Int Case Report BACKGROUND: Fusion of the atlas with the lower part of the occiput is clinically known as atlanto-occipital assimilation (AOA) or atlas occipitalization. This can be either partial or complete depending on the extent of fusion. AOA is one of the most common congenital anomalies of the craniovertebral junction and is usually asymptomatic. CASE DESCRIPTION: An 80-year-old female presented with a retro-odontoid cyst in conjunction with AOA. Following posterior occipitocervical fixation without resection of the cyst, the patient improved, and the postoperative MR documented cyst resolution. CONCLUSION: Patients with AOA and a retro-odontoid cyst may be successfully managed with occipitocervical fixation without resection of the cyst. However, we would recommend preoperative computed tomography angiography to document whether the vertebral artery follows an anomalous course to avoid an intraoperative neurovascular injury. Scientific Scholar 2021-01-28 /pmc/articles/PMC7881517/ /pubmed/33598350 http://dx.doi.org/10.25259/SNI_688_2020 Text en Copyright: © 2020 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 Kawanishi, Masahiro Ito, Yutaka Tanaka, Hidekazu Yokoyama, Kunio Yamada, Makoto Sugie, Akira Resolution of retro-odontoid cyst in a patient with atlanto-occipital assimilation after occipitocervical fixation |
title | Resolution of retro-odontoid cyst in a patient with atlanto-occipital assimilation after occipitocervical fixation |
title_full | Resolution of retro-odontoid cyst in a patient with atlanto-occipital assimilation after occipitocervical fixation |
title_fullStr | Resolution of retro-odontoid cyst in a patient with atlanto-occipital assimilation after occipitocervical fixation |
title_full_unstemmed | Resolution of retro-odontoid cyst in a patient with atlanto-occipital assimilation after occipitocervical fixation |
title_short | Resolution of retro-odontoid cyst in a patient with atlanto-occipital assimilation after occipitocervical fixation |
title_sort | resolution of retro-odontoid cyst in a patient with atlanto-occipital assimilation after occipitocervical fixation |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7881517/ https://www.ncbi.nlm.nih.gov/pubmed/33598350 http://dx.doi.org/10.25259/SNI_688_2020 |
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