Congenital irreducible atlantoaxial dislocation associated with cervical intramedullary astrocytoma causing progressive spastic quadriparesis.
dc.contributor.author | Chatley, Anooj | en_US |
dc.contributor.author | Jaiswal, Awadesh K | en_US |
dc.contributor.author | Jain, Manoj | en_US |
dc.contributor.author | Behari, Sanjay | en_US |
dc.date.accessioned | 2008-10-08 | en_US |
dc.date.accessioned | 2009-06-03T10:53:25Z | |
dc.date.available | 2008-10-08 | en_US |
dc.date.available | 2009-06-03T10:53:25Z | |
dc.date.issued | 2008-10-08 | en_US |
dc.description.abstract | Simultaneous presence of congenital irreducible atlantoaxial dislocation (AAD) and cervical intramedullary astrocytoma has not been previously described and may cause disabling myelopathy. This 55-year-old lady presented with suboccipital pain, spastic quadriparesis, Lhermitte's phenomenon and sphincteric disturbances. Lateral radiographs and magnetic resonance imaging showed irreducible AAD, occipitalized atlas, C2-3 fusion, and,an intramedullary tumor from C2-5 level iso-to-hypointense, non-enhancing, except in a small segment in the dorsal C2 level. A suboccipital craniectomy with C2-5 laminectomy revealed a greyish-white tenacious tumor. The tumor was decompressed using a C2-5 midline myelotomy and duroplasty. An occipitocervical lateral mass fixation was performed. Histopathology revealed a low-grade astrocytoma. At three-month follow-up, her spasticity had decreased and quadriparesis and sphincteric disturbances were persisting. Postoperative lateral radiographs and intrathecal contrast CT scan showed a stable occipitocervical construct. Thus, the suboccipital craniectomy and laminectomy with midline myelotomy and duroplasty facilitated space for progressively expanding intramedullary astrocytoma with irreducible AAD; the lateral mass fixation provided stability at the craniovertebral junction. | en_US |
dc.description.affiliation | Department of Neurosurgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India. | en_US |
dc.identifier.citation | Chatley A, Jaiswal AK, Jain M, Behari S. Congenital irreducible atlantoaxial dislocation associated with cervical intramedullary astrocytoma causing progressive spastic quadriparesis. Neurology India. 2008 Oct-Dec; 56(4): 477-9 | en_US |
dc.identifier.uri | https://imsear.searo.who.int/handle/123456789/120522 | |
dc.language.iso | eng | en_US |
dc.source.uri | https://neurologyindia.com | en_US |
dc.subject.mesh | Astrocytoma --complications | en_US |
dc.subject.mesh | Atlanto-Axial Joint | en_US |
dc.subject.mesh | Dislocations --complications | en_US |
dc.subject.mesh | Female | en_US |
dc.subject.mesh | Humans | en_US |
dc.subject.mesh | Magnetic Resonance Imaging | en_US |
dc.subject.mesh | Middle Aged | en_US |
dc.subject.mesh | Neurosurgical Procedures | en_US |
dc.subject.mesh | Quadriplegia --etiology | en_US |
dc.subject.mesh | Spinal Neoplasms --complications | en_US |
dc.title | Congenital irreducible atlantoaxial dislocation associated with cervical intramedullary astrocytoma causing progressive spastic quadriparesis. | en_US |
dc.type | Case Reports | en_US |
dc.type | Journal Article | en_US |
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