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 35
- Downloads 0
Previously Undiagnosed Tuberous Sclerosis Complex in a Newborn: A Case Report
The early diagnosis of tuberous sclerosis complex (TSC), especially during the neonatal period is rare. If there is a family history, foetal cardiac masses diagnosed by foetal echocardiography, may suggest TSC. After the...
Congenital Bilateral Choanal Atresia: A Rare Case
Congenital Choanal Atresia (CCA) is the developmental misstep or inadequacy of the nasal cavity to connect posteriorly with the nasopharynx. Bilateral atresia presents with life threatening asphyxia at birth, while unila...
Epileptic Pseudodementia by Antidepressants
The authors present a case of a patient who previously had depressions and that remains asymptomatic for several years, but after an uncontrolled increase of tricyclic antidepressant clomipramine, an important cognitive...
Polygonum amplexicaule Extract: An Effective Herbal Cure to CCl4 Induced Liver Damage In Vivo
Introduction: Liver damages are mainly caused by toxic chemicals, alcohol, infections and autoimmune disorders. Polygonum amplexicaule is a member of the genus Polygonum having high antioxidant contents and it has tradit...
AbrikossoffâÂÂs Tumor (Granular Cell Tumor) of the Breast: A Case Report and Literature Review
Abrikossoff’s tumors can become a difficult diagnostic challenge for the physicians because of their clinical, mammographical, and sonographical aspects, mimicking a primary breast carcinoma. We report of a healthy 31-y...