Microvascular decompression with partial occipital condylectomy in a case of pediatric spasmodic torticollis.
Childs Nerv Syst
; 35(7): 1263-1266, 2019 07.
Article
en En
| MEDLINE
| ID: mdl-30701298
ABSTRACT
Spasmodic torticollis is a rare, neurologic disorder that is caused by abnormal nerve compression of the 11th cranial nerve by blood vessels or bony protrusions. It is typically treated pharmacologically and, if necessary, with surgical intervention. We report a unique case of spasmodic torticollis in a 15-year-old female that involved abnormal compression of the left 11th cranial nerve (CN) by the left vertebral artery, displaced by a hypertrophic left occipital condyle. After treatment with Botox was unsuccessful, the patient was treated with microvascular decompression and occipital condylectomy that adequately relieved the abnormal compression of CN XI. Mild symptoms persisted, and the patient underwent a partial section of the sternocleidomastoid muscle 1 year later, after which torticollis symptoms resolved.
Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Osteotomía
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Tortícolis
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Cirugía para Descompresión Microvascular
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Nervio Accesorio
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Síndromes de Compresión Nerviosa
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Hueso Occipital
Tipo de estudio:
Etiology_studies
Límite:
Adolescent
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Female
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Humans
Idioma:
En
Año:
2019
Tipo del documento:
Article