Bilateral Accessory C1 and C2 Facet Joints; Clinical, Neuroradiological and Peroperative Findings in an Adult with Quadriparesis
Arq. bras. neurocir
; 38(4): 328-335, 15/12/2019.
Artigo
em Inglês
| LILACS
| ID: biblio-1362502
Biblioteca responsável:
BR1.1
ABSTRACT
Objectives Accessory C1 and C2 facet joints are very rare. Only few cases were reported in the literature.We report a case of bilateral accessory facets in an adult with special attention to clinical, neuroradiological, as well as peroperative findings. Case report A 37-year-old male presented with progressive quadriparesis. Radiology revealed bilateral posterior accessory C1 and C2 facet joints compressing the spinal cord with craniovertebral junction (CVJ) instability. Both accessory C1 and C2 facets with the posterior arch of the C1 were removed. Lateral mass screws and plates fixation at the C1 and C2 level, as well as fusion, were performed. Postoperatively, the patient recovered well. Conclusion In accessory C1 and C2 facet joints, when symptomatic, neuroradiological findings can guide to the proper diagnosis, to pathological understanding, and, ultimately, to management strategy.
Texto completo:
Disponível
Coleções:
Bases de dados internacionais
Base de dados:
LILACS
Assunto principal:
Quadriplegia
/
Compressão da Medula Espinal
/
Vértebras Cervicais
/
Articulação Zigapofisária
Tipo de estudo:
Estudo diagnóstico
Limite:
Adulto
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Arq. bras. neurocir
Assunto da revista:
Cirurgia
/
Neurocirurgia
Ano de publicação:
2019
Tipo de documento:
Artigo
País de afiliação:
Bangladesh
Instituição/País de afiliação:
Department of Neurology, National Institute of Neurosciences and Hospital/BD
/
Department of Neurosurgery, Bangladesh Specialezed Hospital/BD
/
Department of Neurosurgery, National Institute of Neurosciences and Hospital/BD