Natural History, Neuroradiological Workup, and Management Options of Chronic Atlantoaxial Rotatory Fixation Caused by Drug-Induced Cervical Dystonia

Atlantoaxial rotatory fixation (AARF) resulting from drug-induced cervical dystonia (DICD) represents an extremely rare complication of antipsychotic treatment, requiring a comprehensive assessment of pharmacologic therapy and timely radiologic workup. We report a chronic case of Fielding type I, Pa...

Descripción completa

Detalles Bibliográficos
Autores principales: Ishikawa, Yuki, Kato, So, Ganau, Mario, Hirai, Shima, Oshima, Yasushi, Tanaka, Sakae
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7946456/
https://www.ncbi.nlm.nih.gov/pubmed/33763273
http://dx.doi.org/10.1155/2021/6683268
_version_ 1783663054059208704
author Ishikawa, Yuki
Kato, So
Ganau, Mario
Hirai, Shima
Oshima, Yasushi
Tanaka, Sakae
author_facet Ishikawa, Yuki
Kato, So
Ganau, Mario
Hirai, Shima
Oshima, Yasushi
Tanaka, Sakae
author_sort Ishikawa, Yuki
collection PubMed
description Atlantoaxial rotatory fixation (AARF) resulting from drug-induced cervical dystonia (DICD) represents an extremely rare complication of antipsychotic treatment, requiring a comprehensive assessment of pharmacologic therapy and timely radiologic workup. We report a chronic case of Fielding type I, Pang type I AARF secondary to schizophrenia treatment in a 16-year-old girl, along with a review of the literature on the management challenges posed in this condition. In this scenario, torticollis may just represent the tip of the iceberg, and only an effective multidisciplinary approach increases the chances of satisfactory correction with closed reduction, hence avoiding the burden of more invasive treatment options.
format Online
Article
Text
id pubmed-7946456
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Hindawi
record_format MEDLINE/PubMed
spelling pubmed-79464562021-03-23 Natural History, Neuroradiological Workup, and Management Options of Chronic Atlantoaxial Rotatory Fixation Caused by Drug-Induced Cervical Dystonia Ishikawa, Yuki Kato, So Ganau, Mario Hirai, Shima Oshima, Yasushi Tanaka, Sakae Case Rep Orthop Case Report Atlantoaxial rotatory fixation (AARF) resulting from drug-induced cervical dystonia (DICD) represents an extremely rare complication of antipsychotic treatment, requiring a comprehensive assessment of pharmacologic therapy and timely radiologic workup. We report a chronic case of Fielding type I, Pang type I AARF secondary to schizophrenia treatment in a 16-year-old girl, along with a review of the literature on the management challenges posed in this condition. In this scenario, torticollis may just represent the tip of the iceberg, and only an effective multidisciplinary approach increases the chances of satisfactory correction with closed reduction, hence avoiding the burden of more invasive treatment options. Hindawi 2021-03-03 /pmc/articles/PMC7946456/ /pubmed/33763273 http://dx.doi.org/10.1155/2021/6683268 Text en Copyright © 2021 Yuki Ishikawa et al. https://creativecommons.org/licenses/by/4.0/ 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
Ishikawa, Yuki
Kato, So
Ganau, Mario
Hirai, Shima
Oshima, Yasushi
Tanaka, Sakae
Natural History, Neuroradiological Workup, and Management Options of Chronic Atlantoaxial Rotatory Fixation Caused by Drug-Induced Cervical Dystonia
title Natural History, Neuroradiological Workup, and Management Options of Chronic Atlantoaxial Rotatory Fixation Caused by Drug-Induced Cervical Dystonia
title_full Natural History, Neuroradiological Workup, and Management Options of Chronic Atlantoaxial Rotatory Fixation Caused by Drug-Induced Cervical Dystonia
title_fullStr Natural History, Neuroradiological Workup, and Management Options of Chronic Atlantoaxial Rotatory Fixation Caused by Drug-Induced Cervical Dystonia
title_full_unstemmed Natural History, Neuroradiological Workup, and Management Options of Chronic Atlantoaxial Rotatory Fixation Caused by Drug-Induced Cervical Dystonia
title_short Natural History, Neuroradiological Workup, and Management Options of Chronic Atlantoaxial Rotatory Fixation Caused by Drug-Induced Cervical Dystonia
title_sort natural history, neuroradiological workup, and management options of chronic atlantoaxial rotatory fixation caused by drug-induced cervical dystonia
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7946456/
https://www.ncbi.nlm.nih.gov/pubmed/33763273
http://dx.doi.org/10.1155/2021/6683268
work_keys_str_mv AT ishikawayuki naturalhistoryneuroradiologicalworkupandmanagementoptionsofchronicatlantoaxialrotatoryfixationcausedbydruginducedcervicaldystonia
AT katoso naturalhistoryneuroradiologicalworkupandmanagementoptionsofchronicatlantoaxialrotatoryfixationcausedbydruginducedcervicaldystonia
AT ganaumario naturalhistoryneuroradiologicalworkupandmanagementoptionsofchronicatlantoaxialrotatoryfixationcausedbydruginducedcervicaldystonia
AT hiraishima naturalhistoryneuroradiologicalworkupandmanagementoptionsofchronicatlantoaxialrotatoryfixationcausedbydruginducedcervicaldystonia
AT oshimayasushi naturalhistoryneuroradiologicalworkupandmanagementoptionsofchronicatlantoaxialrotatoryfixationcausedbydruginducedcervicaldystonia
AT tanakasakae naturalhistoryneuroradiologicalworkupandmanagementoptionsofchronicatlantoaxialrotatoryfixationcausedbydruginducedcervicaldystonia

Ejemplares similares