A Pre-operative Realignment of Atlanto-occipital Dislocation
Journal Title: Journal of Rare Disorders: Diagnosis & Therapy - Year 2017, Vol 3, Issue 6
Abstract
Atlanto-occipital dislocation (AOD) is the most common cervical spine injury in motor vehicular accident fatalities. It carries a high morbidity and mortality. Diagnosis of this injury is difficult and requires a high index of clinical suspicion combined with careful examination of imaging modalities. A 22-year-old female was in a motor vehicle accident and was found unresponsive. She sustained multiple injuries requiring emergency laparotomy and damage control laparotomy. CT of Cervical spine was initially read as negative. Ten days later, the patient had no movement of her lower extremities. It was discovered that craniocervical dissociation was missed on the CT done on admission; CT angiogram done to rule out blunt carotid and vertebral artery injury showed realignment of the spine. The patient underwent surgery and recovered the use of her legs. Spontaneous realignment pre-operatively for AOD has not been reported in the literature because most cases underwent immediate surgery for stabilization.
Authors and Affiliations
Wilson J, Ginsberg J, Paullus CP, Santos PA
Keywords
Related Articles
- EP ID EP305276
- DOI 10.21767/2380-7245.100168
- Views 46
- Downloads 0
Can a Low-Carbohydrate Diet Improve Exercise Tolerance in Mcardle Disease?
Context: McArdle disease is a rare disease of muscle metabolism caused by a deficiency of the enzyme myophosphorylase, which prevents stored muscle glycogen from being converted to glucose. The resultant effect is exerci...
Acanthamoeba Keratitis: Diagnosis and Treatment
Acanthamoeba species are the causative agent of a sight threatening infection of the cornea known as Acanthamoeba keratitis, caused by the free-living amoeba Acanthamoeba spp., and is a sight-threatening corneal infectio...
Excision of Cervical Rib through Supraclavicular Approach
Thoracic Outlet Syndrome (TOS) is a clinical condition due to compression of the neurovascular structures, such as brachial plexus and subclavian vessels, during their course between the neck and axilla. Different etiolo...
Rare Cases in Psychiatry
In general medicine and its specialties it is logical that the rare cases are extraordinary, singular or unusual. But in our specialty in particular, we have to differentiate between the infrequent and the rare cases. I...
An Rare Case of Arterial Fistulas
A coronary blood vessel fistula is an association between at least one of the coronary corridors and a heart chamber or awesome vessel. This is an uncommon deformity and for the most part happens in disengagement. Its co...