Periodontoid pseudotumoral lesions

BACKGROUND: Periodontoid pseudotumoral lesions (PPL) are an uncommon cause of cervical pain and myelopathy. In addition, they may be associated with atlantoaxial instability (AAI). CASE DESCRIPTION: Two patients over 60 years of age presented with neck pain alone. Their MR scans showed expansive les...

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Autores principales: de Souza Batista, Andrew Vinícius, de Aguiar, Guilherme Brasileiro, Bennett, Priscilla, Veiga, José Carlos Esteves
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Scientific Scholar 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8422533/
https://www.ncbi.nlm.nih.gov/pubmed/34513169
http://dx.doi.org/10.25259/SNI_588_2021
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author de Souza Batista, Andrew Vinícius
de Aguiar, Guilherme Brasileiro
Bennett, Priscilla
Veiga, José Carlos Esteves
author_facet de Souza Batista, Andrew Vinícius
de Aguiar, Guilherme Brasileiro
Bennett, Priscilla
Veiga, José Carlos Esteves
author_sort de Souza Batista, Andrew Vinícius
collection PubMed
description BACKGROUND: Periodontoid pseudotumoral lesions (PPL) are an uncommon cause of cervical pain and myelopathy. In addition, they may be associated with atlantoaxial instability (AAI). CASE DESCRIPTION: Two patients over 60 years of age presented with neck pain alone. Their MR scans showed expansive lesions involving the odontoid process. One patient with AAI required an occipitocervical arthrodesis, while the other patient without instability was managed with an external orthosis (Philadelphia collar). Both of them experienced full resolution of pain and remained neurologically intact an average 36 months later (range 24–48). CONCLUSION: Here, we discussed the clinical, MR, and non-surgical (without AAI) versus surgical management (with AAI) for different types of PPL.
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spelling pubmed-84225332021-09-09 Periodontoid pseudotumoral lesions de Souza Batista, Andrew Vinícius de Aguiar, Guilherme Brasileiro Bennett, Priscilla Veiga, José Carlos Esteves Surg Neurol Int Case Report BACKGROUND: Periodontoid pseudotumoral lesions (PPL) are an uncommon cause of cervical pain and myelopathy. In addition, they may be associated with atlantoaxial instability (AAI). CASE DESCRIPTION: Two patients over 60 years of age presented with neck pain alone. Their MR scans showed expansive lesions involving the odontoid process. One patient with AAI required an occipitocervical arthrodesis, while the other patient without instability was managed with an external orthosis (Philadelphia collar). Both of them experienced full resolution of pain and remained neurologically intact an average 36 months later (range 24–48). CONCLUSION: Here, we discussed the clinical, MR, and non-surgical (without AAI) versus surgical management (with AAI) for different types of PPL. Scientific Scholar 2021-08-09 /pmc/articles/PMC8422533/ /pubmed/34513169 http://dx.doi.org/10.25259/SNI_588_2021 Text en Copyright: © 2021 Surgical Neurology International https://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
de Souza Batista, Andrew Vinícius
de Aguiar, Guilherme Brasileiro
Bennett, Priscilla
Veiga, José Carlos Esteves
Periodontoid pseudotumoral lesions
title Periodontoid pseudotumoral lesions
title_full Periodontoid pseudotumoral lesions
title_fullStr Periodontoid pseudotumoral lesions
title_full_unstemmed Periodontoid pseudotumoral lesions
title_short Periodontoid pseudotumoral lesions
title_sort periodontoid pseudotumoral lesions
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8422533/
https://www.ncbi.nlm.nih.gov/pubmed/34513169
http://dx.doi.org/10.25259/SNI_588_2021
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AT deaguiarguilhermebrasileiro periodontoidpseudotumorallesions
AT bennettpriscilla periodontoidpseudotumorallesions
AT veigajosecarlosesteves periodontoidpseudotumorallesions

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