Regression of retro-odontoid pseudotumor following botulinum injection into cervical muscles

BACKGROUND: Posterior fixation of C1/2 has become more commonly performed to treat retro-odontoid pseudotumor (ROP). Here, we report a 60-year-old female with cervical dystonia (CD), whose ROP regressed and whose quadriparesis improved after a series of cervical intramuscular botulinum injections. C...

Descripción completa

Detalles Bibliográficos
Autores principales: Kawanishi, Masahiro, Tanaka, Hidekazu, Ito, Yutaka, Yamada, Makoto, Yokoyama, Kunio, Ikeda, Naokado, Sugie, Akira
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Scientific Scholar 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9345127/
https://www.ncbi.nlm.nih.gov/pubmed/35928316
http://dx.doi.org/10.25259/SNI_606_2022
Descripción
Sumario:BACKGROUND: Posterior fixation of C1/2 has become more commonly performed to treat retro-odontoid pseudotumor (ROP). Here, we report a 60-year-old female with cervical dystonia (CD), whose ROP regressed and whose quadriparesis improved after a series of cervical intramuscular botulinum injections. CASE DESCRIPTION: A 60-year-old female with 30 years of CD newly presented with a progressive quadriparesis. When the MRI showed ROP compression the cervical spinal cord, she refused surgery and underwent multiple cervical muscular botulinum injections over the next 2 years. Following these injections, the patient’s quadriparesis improved as the ROP regressed on subsequent MR studies. CONCLUSION: Over a 2-year period, multiple cervical botulinum injections caused regression of a retro-odontoid cervical pseudotumor improvement in the patient’s quadriparesis.

Ejemplares similares