Literature DB >> 15372293

A case of progressive myelopathy with atlas hypoplasia in an infant: controversy in the surgical strategy.

Yoko Fukuzumi1, Shizuo Oi, Osamu Matsubara, Nobuyoshi Kaito, Satoshi Tani, Toshiaki Abe.   

Abstract

CASE REPORT: The authors report a case of isolated atlas hypoplasia in an 18-month-old infant who experienced delayed motor development confined to the lower extremities, in the absence of other clinical features. Nonetheless, MRI revealed the upper cervical cord to be highly compressed with a high signal intensity lesion apparent at the craniovertebral junction. The patient underwent atlas laminectomy in addition to occipital decompression, resulting in a good neurological recovery. DISCUSSION: We speculate on the significance of this unique clinical presentation and discuss surgical strategies for this condition.

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Mesh：

Year:  2004        PMID： 15372293     DOI： 10.1007/s00381-004-1000-9

Source DB:  PubMed          Journal:  Childs Nerv Syst        ISSN： 0256-7040            Impact factor:   1.475


  19 in total

1.  Partial aplasia of the posterior arch of the atlas with an isolated posterior arch remnant: findings in three cases.

Authors:  A Sharma; S B Gaikwad; P S Deol; N K Mishra; S S Kale
Journal:  AJNR Am J Neuroradiol       Date:  2000 Jun-Jul       Impact factor: 3.825

2.  A case of cervical myelopathy with developmental canal stenosis at the level of the atlas. A case report.

Authors:  K Okamoto; M Sumi; M Ikeda; S Sawamura; O Kataoka
Journal:  Kobe J Med Sci       Date:  1998-06

Review 3.  [Diagnostic imaging in congenital abnormalities of the posterior arch of the atlas. Report of 2 cases and review of the literature].

Authors:  A Torricella; C Pastorino; G A Rollandi; F Pretolesi
Journal:  Radiol Med       Date:  1995-06       Impact factor: 3.469

4.  Anomaly of arch of atlas--a rare cause of symptomatic canal stenosis in children.

Authors:  B I Devi; S N Shenoy; M K Panigrahi; B A Chandramouli; B S Das; P N Jayakumar
Journal:  Pediatr Neurosurg       Date:  1997-04       Impact factor: 1.162

5.  Myelopathy due to hypoplasia of the atlas. A case report.

Authors:  K Yamashita; Y Aoki; K Hiroshima
Journal:  Clin Orthop Relat Res       Date:  1997-05       Impact factor: 4.176

6.  Congenital absence of the atlas posterior arch. A case report.

Authors:  J Huggare
Journal:  Br J Orthod       Date:  1995-02

Review 7.  Cervical myelopathy caused by hypoplasia of the atlas: two case reports and review of the literature.

Authors:  N Phan; C Marras; R Midha; D Rowed
Journal:  Neurosurgery       Date:  1998-09       Impact factor: 4.654

8.  A rare cause of cervical spinal stenosis: posterior arch hypoplasia in a bipartite atlas.

Authors:  C Atasoy; S Fitoz; B Karan; I Erden; S Akyar
Journal:  Neuroradiology       Date:  2002-03       Impact factor: 2.804

9.  Atlantal stenosis: a rare cause of quadriparesis in a child. Case report.

Authors:  P C Liliang; C C Lui; M H Cheng; T Y Shih
Journal:  J Neurosurg       Date:  2000-04       Impact factor: 5.115

Review 10.  Congenital defects of the posterior arch of the atlas: a report of seven cases including an affected mother and son.

Authors:  G Currarino; N Rollins; J T Diehl
Journal:  AJNR Am J Neuroradiol       Date:  1994-02       Impact factor: 3.825
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