Cervical Myelopathy Caused by a Split Atlas Anomaly: A Case Report
An 18-year-old male presented with a 6-month history of paresthesia of both arms and legs after a minor neck trauma. CT scan revealed a partial aplasia of the anterior and posterior arches of the C1 vertebra resulting in a split atlas. MRI showed an intramedullary high-signal area. We performed a po...
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| Veröffentlicht in: | Case Reports in Orthopedic Research 2021-06, Vol.4 (2), p.121-130 |
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| container_title | Case Reports in Orthopedic Research |
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| creator | Meddeb, Mehdi Makhlouf, Hassen Bouali, Sofiene Habboubi, Khalil Mestiri, Mondher |
| description | An 18-year-old male presented with a 6-month history of paresthesia of both arms and legs after a minor neck trauma. CT scan revealed a partial aplasia of the anterior and posterior arches of the C1 vertebra resulting in a split atlas. MRI showed an intramedullary high-signal area. We performed a posterior decompressive laminectomy and occipitocervical fusion. The bony defect into the posterior arch was replaced by a connective tissue cord, resulting in a compression of the dural sheath. The symptoms recovered completely 1 month after surgery. Knowledge of this rare malformation is crucial to the correct management of these cases. |
| doi_str_mv | 10.1159/000516770 |
| format | Article |
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CT scan revealed a partial aplasia of the anterior and posterior arches of the C1 vertebra resulting in a split atlas. MRI showed an intramedullary high-signal area. We performed a posterior decompressive laminectomy and occipitocervical fusion. The bony defect into the posterior arch was replaced by a connective tissue cord, resulting in a compression of the dural sheath. The symptoms recovered completely 1 month after surgery. Knowledge of this rare malformation is crucial to the correct management of these cases.</description><identifier>ISSN: 2296-9373</identifier><identifier>EISSN: 2296-9373</identifier><identifier>DOI: 10.1159/000516770</identifier><language>eng</language><publisher>Basel, Switzerland: S. Karger AG</publisher><subject>Birth defects ; Case Report ; congenital defect ; Genetic disorders ; myelopathy ; spine ; split atlas</subject><ispartof>Case Reports in Orthopedic Research, 2021-06, Vol.4 (2), p.121-130</ispartof><rights>2021 The Author(s). Published by S. 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| subjects | Birth defects Case Report congenital defect Genetic disorders myelopathy spine split atlas |
| title | Cervical Myelopathy Caused by a Split Atlas Anomaly: A Case Report |
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