Management of a complicated childhood Os odontoideum: A new incidence in Saudi Arabia

Journal Title: International Journal of Medical Science and Public Health - Year 2018, Vol 7, Issue 12

Abstract

Os odontoideum is defined as an odontoid ossicle process with smooth circumferential cortical margins that have no osseous continuity with the body of C2. The origins of Os odontoideum have much debate for both acquired and congenital causes. The incidence of Os odontoideum is unclear and difficult to investigate because symptoms not always occur. 11-year-old girl patient was presented with abnormal gait, abnormal speech, weakness of all limbs. All of these findings appeared for 3 years, and the presenting case was quite well before that time. The case was mentally normal. Physical examination revealed features of upper motor neuron deficit in the form of spasticity, hyperreflexia, and clonus. These signs were more marked in lower than the upper limbs. Vital signs were within normal limits. Palpation revealed midline tenderness all over the spine most marked down C1 to C2 with no step-offs renowned with intact cranial nerves. No evidence of sensory or motor deficits was noticed on the neurologic examination. Otherwise, no abnormalities were detected. Radiographic workup was done in the form of plain X-ray and magnetic resonance image (MRI). The computed tomography revealed Os odontoideum, as well as prominent ventricles. MRI revealed an evidence of the craniovertebral junction anomaly with most likely Os odontoideum as well as the backward displacement of the C2 vertebral body. Despite Os odontoideum is an infrequent lesion, its importance comes from associated injuries related to the cervical spine and vertebral artery injuries and should be considered in all age groups, more frequently in childhood, especially when the presenting symptoms are of upper cervical spine compression and its sequelae. Early diagnosis and proper management will prevent such complications to occur.

Authors and Affiliations

Fahd Nasser AlQahtani

Keywords

Related Articles

Carotid doppler evaluation in patients with ischemic stroke and its association with high risk factors

Background: Strokes are the second largest cause of death and dementia and the leading cause of disability. With the rise of incidence in developing nation, primary and secondary prevention of strokes is of paramount imp...

A study on attitude belief and practice of mother-in-law and her son regarding son preference in Berasia block of Bhopal district

Introduction: A skewed sex ratio is harmful to the health and welfare of women in India and is perhaps the more alarming concern for population sustainability. Objectives: (1) To assess the attitudes of mother-i...

 Opportunistic screening for diabetes mellitus among adults attending a primary health center in Puducherry

 Background: More than half of cases with diabetes mellitus in India remain undiagnosed. Considering factors on yield and availability of resources, population-based screening is not recommended in low- and middle-...

The effectiveness of behavioral change communication (BCC) program to change HIV/AIDS-related behaviors on construction workers

Background: Health education remains the main measure to prevent and control HIV/AIDS particularly in low resource setting. Among vulnerable groups, construction workers are one of the high-risk group infected by thi...

Knowledge, attitude and practice regarding exclusive breastfeeding among mothers attending primary health care centers in Abha city

Background: Exclusive breastfeeding for 6 months is viewed as a major public health intervention to reduce the child mortality, particularly, in the neonates and infants. Aims & Objective s...

Download PDF file
  • EP ID EP489717
  • DOI 10.5455/ijmsph.2018.0927624092018
  • Views 84
  • Downloads 0

How To Cite

Fahd Nasser AlQahtani (2018). Management of a complicated childhood Os odontoideum: A new incidence in Saudi Arabia. International Journal of Medical Science and Public Health, 7(12), 1039-1042. https://europub.co.uk/articles/-A-489717