Endoscopic endonasal odontoidectomy for the treatment of basilar invagination

Basilar invagination is a challenging dilemma that neurosurgeons may face. Herein, we present a case of a 65-year-old female with a history of rheumatoid arthritis and status post a previous C4–7 ACDF who presented to our clinic with progressive weakness in her bilateral upper and lower extremities....

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Detalles Bibliográficos
Autores principales: Ruiz-Garcia, Henry, Gassie, Kelly, Marenco-Hillembrand, Lina, Donaldson, Angela M., Chaichana, Kaisorn L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Association of Neurological Surgeons 2020
Materias:
Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9542648/
https://www.ncbi.nlm.nih.gov/pubmed/36285120
http://dx.doi.org/10.3171/2020.3.FocusVid.20184
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author Ruiz-Garcia, Henry
Gassie, Kelly
Marenco-Hillembrand, Lina
Donaldson, Angela M.
Chaichana, Kaisorn L.
author_facet Ruiz-Garcia, Henry
Gassie, Kelly
Marenco-Hillembrand, Lina
Donaldson, Angela M.
Chaichana, Kaisorn L.
author_sort Ruiz-Garcia, Henry
collection PubMed
description Basilar invagination is a challenging dilemma that neurosurgeons may face. Herein, we present a case of a 65-year-old female with a history of rheumatoid arthritis and status post a previous C4–7 ACDF who presented to our clinic with progressive weakness in her bilateral upper and lower extremities. Imaging revealed basilar invagination. She underwent an endoscopic endonasal odontoidectomy followed by an occiput–C6 fusion. We present the endonasal portion of the procedure and have highlighted the technical nuances of this approach. Our goal is to provide better insight into this surgical strategy when dealing with basilar invagination. The video can be found here: https://youtu.be/aeMbvI_zYQA
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spelling pubmed-95426482022-10-24 Endoscopic endonasal odontoidectomy for the treatment of basilar invagination Ruiz-Garcia, Henry Gassie, Kelly Marenco-Hillembrand, Lina Donaldson, Angela M. Chaichana, Kaisorn L. Neurosurg Focus Video Article Basilar invagination is a challenging dilemma that neurosurgeons may face. Herein, we present a case of a 65-year-old female with a history of rheumatoid arthritis and status post a previous C4–7 ACDF who presented to our clinic with progressive weakness in her bilateral upper and lower extremities. Imaging revealed basilar invagination. She underwent an endoscopic endonasal odontoidectomy followed by an occiput–C6 fusion. We present the endonasal portion of the procedure and have highlighted the technical nuances of this approach. Our goal is to provide better insight into this surgical strategy when dealing with basilar invagination. The video can be found here: https://youtu.be/aeMbvI_zYQA American Association of Neurological Surgeons 2020-07-01 /pmc/articles/PMC9542648/ /pubmed/36285120 http://dx.doi.org/10.3171/2020.3.FocusVid.20184 Text en © 2020, The Authors https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the CC BY license (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ).
spellingShingle Article
Ruiz-Garcia, Henry
Gassie, Kelly
Marenco-Hillembrand, Lina
Donaldson, Angela M.
Chaichana, Kaisorn L.
Endoscopic endonasal odontoidectomy for the treatment of basilar invagination
title Endoscopic endonasal odontoidectomy for the treatment of basilar invagination
title_full Endoscopic endonasal odontoidectomy for the treatment of basilar invagination
title_fullStr Endoscopic endonasal odontoidectomy for the treatment of basilar invagination
title_full_unstemmed Endoscopic endonasal odontoidectomy for the treatment of basilar invagination
title_short Endoscopic endonasal odontoidectomy for the treatment of basilar invagination
title_sort endoscopic endonasal odontoidectomy for the treatment of basilar invagination
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9542648/
https://www.ncbi.nlm.nih.gov/pubmed/36285120
http://dx.doi.org/10.3171/2020.3.FocusVid.20184
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