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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 180 - 184 (5page)
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초록· 키워드
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We present a case of retro-odontoid pseudotumor (ROP) without rheumatoid arthritis (RA) or atlantoaxial subluxation (AAS). A 76-year-old woman presented with paresthesia and weakness of both lower and upper extremities. She had no laboratory or physical findings of RA. Dynamic X-ray showed no AAS and magnetic resonance imaging (MRI) showed a retro-odontoid mass compressing the spinal cord. Transdural mass debulking and biopsy were performed via minimal left suboccipital craniectomy and C1 hemilaminectomy. Two months after surgery, her symptoms were aggravated. Follow-up MRI visualized mass re-growth and spinal cord compression due to the mass and AAS. Posterior C1-2 fixation was performed without further decompression. Twelve months after posterior fixation, no symptoms were apparent and follow-up MRI showed complete resolution of the ROP with C1-2 bony fusion. The ROP with C1-2 instability might be completely resolved only C1-2 fusion without decompression. Furthermore, we speculated that osteoarthritis of C1-2 itself causes a partial tear or degradation of the transverse ligament, that induced formation of ROP.
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등록된 정보가 없습니다.
참고문헌 (15)
참고문헌 신청
Crockard HA / 1986 / Transoral decompression and posterior fusion for rheumatoid atlanto-axial subluxation / J Bone Joint Surg Br 68:350~356
Crockard HA / 1991 / Damaged ligaments at the craniocervical junction presenting as an extradural tumour: a differential diagnosis in the elderly / J Neurol Neurosurg Psychiatry 54:817~821
Daoud L / 2009 / Magnetic resonance imaging evaluation of the cervical spine in patients with rheumatoid arthritis. Report of 30 cases / Tunis Med 87:375~379
Goel A / 2008 / Immediate postoperative regression of retroodontoid pannus after lateral mass reconstruction in a patient with rheumatoid disease of the craniovertebral junction. Case report / J Neurosurg Spine 9:273~276
Grob D / 2000 / Atlantoaxial immobilization in rheumatoid arthritis: a prophylactic procedure? / Eur Spine J 9:404~409
Crockard HA / 1991 / Damaged ligaments at the craniocervical junction presenting as an extradural tumour: a differential diagnosis in the elderly / J Neurol Neurosurg Psychiatry 54:817~821
Daoud L / 2009 / Magnetic resonance imaging evaluation of the cervical spine in patients with rheumatoid arthritis. Report of 30 cases / Tunis Med 87:375~379
Goel A / 2008 / Immediate postoperative regression of retroodontoid pannus after lateral mass reconstruction in a patient with rheumatoid disease of the craniovertebral junction. Case report / J Neurosurg Spine 9:273~276
Grob D / 2000 / Atlantoaxial immobilization in rheumatoid arthritis: a prophylactic procedure? / Eur Spine J 9:404~409
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