Endoscopic endonasal odontoidectomy in a patient affected by Down syndrome: technical case report

Atlantoaxial instability and odontoid invagination may occur in Down syndrome. The treatment of this lesion may require an odontoidectomy. In similar circumstances, a transoral procedure may be hampered by a macroglossia which is part of Down syndrome. In a situation occurring in an 11-year-old chil...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Neurosurgery 2008-08, Vol.63 (2), p.E373-E374
Hauptverfasser: Magrini, Salima, Pasquini, Ernesto, Mazzatenta, Diego, Mascari, Carmelo, Galassi, Ercole, Frank, Giorgio
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page E374
container_issue 2
container_start_page E373
container_title Neurosurgery
container_volume 63
creator Magrini, Salima
Pasquini, Ernesto
Mazzatenta, Diego
Mascari, Carmelo
Galassi, Ercole
Frank, Giorgio
description Atlantoaxial instability and odontoid invagination may occur in Down syndrome. The treatment of this lesion may require an odontoidectomy. In similar circumstances, a transoral procedure may be hampered by a macroglossia which is part of Down syndrome. In a situation occurring in an 11-year-old child affected by atloaxial instability and os odontoideum, the persistence of ventral compression after a previous atloaxial fixation induced us to perform an endoscopic endonasal odontoidectomy. We feel that this is an elective indication for endoscopic endonasal odontoidectomy. An 11-year-old child, affected by Down syndrome, presented with progressive tetraparesis with severe superior diplegia. He was wheelchair-bound. Recently, respiratory disturbances had appeared. The patient underwent an endoscopic endonasal odontoidectomy. The postoperative course was uneventful, and the patient experienced improvement of the preoperative symptoms. An endonasal technique is indicated for patients presenting with narrowness of the oral cavity, such as in the case reported, where the narrowness due to pediatric age and the macroglossia characteristic of Down syndrome hamper the transoral approach.
doi_str_mv 10.1227/01.NEU.0000315285.84524.74
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_69563094</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>69563094</sourcerecordid><originalsourceid>FETCH-LOGICAL-c260t-8723f3ccfd41563c853428207b9da38182d4e0c5fa8f8cf319d3eb26ec678a183</originalsourceid><addsrcrecordid>eNpFkE1LAzEQhoMotlb_ggQP3nbN126yvYnWDyh6seAtpMkEV7qbdbNF9t-b2kLnMi_DvO8MD0I3lOSUMXlHaP62WOUkFacFU0WuRMFELsUJmqaByAQR5BRNCRUq41X5OUEXMX4TQksh1TmaUCUryWk1RWbRuhBt6GqLIcnWRLPBIYkh1A7sEJoR1y02uDNDDe2AjfdpDA6vR_wYflscx9b1oYE5HsB-tbVNAdZEwD10oR8u0Zk3mwhXhz5Dq6fFx8NLtnx_fn24X2aWlWTIlGTcc2u9E7QouVUFF0wxIteVM1xRxZwAYgtvlFfWp-cdhzUrwZZSGar4DN3uc7s-_GwhDrqpo4XNxrQQtlGXVYollUiL8_2i7UOMPXjd9XVj-lFToneANaE6AdZHwPofsJY78_XhynbdgDtaD0T5H9t1eHs</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>69563094</pqid></control><display><type>article</type><title>Endoscopic endonasal odontoidectomy in a patient affected by Down syndrome: technical case report</title><source>MEDLINE</source><source>Journals@Ovid Complete</source><creator>Magrini, Salima ; Pasquini, Ernesto ; Mazzatenta, Diego ; Mascari, Carmelo ; Galassi, Ercole ; Frank, Giorgio</creator><creatorcontrib>Magrini, Salima ; Pasquini, Ernesto ; Mazzatenta, Diego ; Mascari, Carmelo ; Galassi, Ercole ; Frank, Giorgio</creatorcontrib><description>Atlantoaxial instability and odontoid invagination may occur in Down syndrome. The treatment of this lesion may require an odontoidectomy. In similar circumstances, a transoral procedure may be hampered by a macroglossia which is part of Down syndrome. In a situation occurring in an 11-year-old child affected by atloaxial instability and os odontoideum, the persistence of ventral compression after a previous atloaxial fixation induced us to perform an endoscopic endonasal odontoidectomy. We feel that this is an elective indication for endoscopic endonasal odontoidectomy. An 11-year-old child, affected by Down syndrome, presented with progressive tetraparesis with severe superior diplegia. He was wheelchair-bound. Recently, respiratory disturbances had appeared. The patient underwent an endoscopic endonasal odontoidectomy. The postoperative course was uneventful, and the patient experienced improvement of the preoperative symptoms. An endonasal technique is indicated for patients presenting with narrowness of the oral cavity, such as in the case reported, where the narrowness due to pediatric age and the macroglossia characteristic of Down syndrome hamper the transoral approach.</description><identifier>ISSN: 0148-396X</identifier><identifier>EISSN: 1524-4040</identifier><identifier>DOI: 10.1227/01.NEU.0000315285.84524.74</identifier><identifier>PMID: 18797319</identifier><language>eng</language><publisher>United States</publisher><subject>Child ; Down Syndrome - diagnostic imaging ; Down Syndrome - surgery ; Humans ; Male ; Nasal Cavity - diagnostic imaging ; Nasal Cavity - surgery ; Neuroendoscopy - methods ; Neurosurgical Procedures - methods ; Odontoid Process - diagnostic imaging ; Odontoid Process - surgery ; Radiography</subject><ispartof>Neurosurgery, 2008-08, Vol.63 (2), p.E373-E374</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c260t-8723f3ccfd41563c853428207b9da38182d4e0c5fa8f8cf319d3eb26ec678a183</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18797319$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Magrini, Salima</creatorcontrib><creatorcontrib>Pasquini, Ernesto</creatorcontrib><creatorcontrib>Mazzatenta, Diego</creatorcontrib><creatorcontrib>Mascari, Carmelo</creatorcontrib><creatorcontrib>Galassi, Ercole</creatorcontrib><creatorcontrib>Frank, Giorgio</creatorcontrib><title>Endoscopic endonasal odontoidectomy in a patient affected by Down syndrome: technical case report</title><title>Neurosurgery</title><addtitle>Neurosurgery</addtitle><description>Atlantoaxial instability and odontoid invagination may occur in Down syndrome. The treatment of this lesion may require an odontoidectomy. In similar circumstances, a transoral procedure may be hampered by a macroglossia which is part of Down syndrome. In a situation occurring in an 11-year-old child affected by atloaxial instability and os odontoideum, the persistence of ventral compression after a previous atloaxial fixation induced us to perform an endoscopic endonasal odontoidectomy. We feel that this is an elective indication for endoscopic endonasal odontoidectomy. An 11-year-old child, affected by Down syndrome, presented with progressive tetraparesis with severe superior diplegia. He was wheelchair-bound. Recently, respiratory disturbances had appeared. The patient underwent an endoscopic endonasal odontoidectomy. The postoperative course was uneventful, and the patient experienced improvement of the preoperative symptoms. An endonasal technique is indicated for patients presenting with narrowness of the oral cavity, such as in the case reported, where the narrowness due to pediatric age and the macroglossia characteristic of Down syndrome hamper the transoral approach.</description><subject>Child</subject><subject>Down Syndrome - diagnostic imaging</subject><subject>Down Syndrome - surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Nasal Cavity - diagnostic imaging</subject><subject>Nasal Cavity - surgery</subject><subject>Neuroendoscopy - methods</subject><subject>Neurosurgical Procedures - methods</subject><subject>Odontoid Process - diagnostic imaging</subject><subject>Odontoid Process - surgery</subject><subject>Radiography</subject><issn>0148-396X</issn><issn>1524-4040</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkE1LAzEQhoMotlb_ggQP3nbN126yvYnWDyh6seAtpMkEV7qbdbNF9t-b2kLnMi_DvO8MD0I3lOSUMXlHaP62WOUkFacFU0WuRMFELsUJmqaByAQR5BRNCRUq41X5OUEXMX4TQksh1TmaUCUryWk1RWbRuhBt6GqLIcnWRLPBIYkh1A7sEJoR1y02uDNDDe2AjfdpDA6vR_wYflscx9b1oYE5HsB-tbVNAdZEwD10oR8u0Zk3mwhXhz5Dq6fFx8NLtnx_fn24X2aWlWTIlGTcc2u9E7QouVUFF0wxIteVM1xRxZwAYgtvlFfWp-cdhzUrwZZSGar4DN3uc7s-_GwhDrqpo4XNxrQQtlGXVYollUiL8_2i7UOMPXjd9XVj-lFToneANaE6AdZHwPofsJY78_XhynbdgDtaD0T5H9t1eHs</recordid><startdate>200808</startdate><enddate>200808</enddate><creator>Magrini, Salima</creator><creator>Pasquini, Ernesto</creator><creator>Mazzatenta, Diego</creator><creator>Mascari, Carmelo</creator><creator>Galassi, Ercole</creator><creator>Frank, Giorgio</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200808</creationdate><title>Endoscopic endonasal odontoidectomy in a patient affected by Down syndrome: technical case report</title><author>Magrini, Salima ; Pasquini, Ernesto ; Mazzatenta, Diego ; Mascari, Carmelo ; Galassi, Ercole ; Frank, Giorgio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c260t-8723f3ccfd41563c853428207b9da38182d4e0c5fa8f8cf319d3eb26ec678a183</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Child</topic><topic>Down Syndrome - diagnostic imaging</topic><topic>Down Syndrome - surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Nasal Cavity - diagnostic imaging</topic><topic>Nasal Cavity - surgery</topic><topic>Neuroendoscopy - methods</topic><topic>Neurosurgical Procedures - methods</topic><topic>Odontoid Process - diagnostic imaging</topic><topic>Odontoid Process - surgery</topic><topic>Radiography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Magrini, Salima</creatorcontrib><creatorcontrib>Pasquini, Ernesto</creatorcontrib><creatorcontrib>Mazzatenta, Diego</creatorcontrib><creatorcontrib>Mascari, Carmelo</creatorcontrib><creatorcontrib>Galassi, Ercole</creatorcontrib><creatorcontrib>Frank, Giorgio</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Magrini, Salima</au><au>Pasquini, Ernesto</au><au>Mazzatenta, Diego</au><au>Mascari, Carmelo</au><au>Galassi, Ercole</au><au>Frank, Giorgio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Endoscopic endonasal odontoidectomy in a patient affected by Down syndrome: technical case report</atitle><jtitle>Neurosurgery</jtitle><addtitle>Neurosurgery</addtitle><date>2008-08</date><risdate>2008</risdate><volume>63</volume><issue>2</issue><spage>E373</spage><epage>E374</epage><pages>E373-E374</pages><issn>0148-396X</issn><eissn>1524-4040</eissn><abstract>Atlantoaxial instability and odontoid invagination may occur in Down syndrome. The treatment of this lesion may require an odontoidectomy. In similar circumstances, a transoral procedure may be hampered by a macroglossia which is part of Down syndrome. In a situation occurring in an 11-year-old child affected by atloaxial instability and os odontoideum, the persistence of ventral compression after a previous atloaxial fixation induced us to perform an endoscopic endonasal odontoidectomy. We feel that this is an elective indication for endoscopic endonasal odontoidectomy. An 11-year-old child, affected by Down syndrome, presented with progressive tetraparesis with severe superior diplegia. He was wheelchair-bound. Recently, respiratory disturbances had appeared. The patient underwent an endoscopic endonasal odontoidectomy. The postoperative course was uneventful, and the patient experienced improvement of the preoperative symptoms. An endonasal technique is indicated for patients presenting with narrowness of the oral cavity, such as in the case reported, where the narrowness due to pediatric age and the macroglossia characteristic of Down syndrome hamper the transoral approach.</abstract><cop>United States</cop><pmid>18797319</pmid><doi>10.1227/01.NEU.0000315285.84524.74</doi></addata></record>
fulltext fulltext
identifier ISSN: 0148-396X
ispartof Neurosurgery, 2008-08, Vol.63 (2), p.E373-E374
issn 0148-396X
1524-4040
language eng
recordid cdi_proquest_miscellaneous_69563094
source MEDLINE; Journals@Ovid Complete
subjects Child
Down Syndrome - diagnostic imaging
Down Syndrome - surgery
Humans
Male
Nasal Cavity - diagnostic imaging
Nasal Cavity - surgery
Neuroendoscopy - methods
Neurosurgical Procedures - methods
Odontoid Process - diagnostic imaging
Odontoid Process - surgery
Radiography
title Endoscopic endonasal odontoidectomy in a patient affected by Down syndrome: technical case report
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-24T02%3A40%3A43IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Endoscopic%20endonasal%20odontoidectomy%20in%20a%20patient%20affected%20by%20Down%20syndrome:%20technical%20case%20report&rft.jtitle=Neurosurgery&rft.au=Magrini,%20Salima&rft.date=2008-08&rft.volume=63&rft.issue=2&rft.spage=E373&rft.epage=E374&rft.pages=E373-E374&rft.issn=0148-396X&rft.eissn=1524-4040&rft_id=info:doi/10.1227/01.NEU.0000315285.84524.74&rft_dat=%3Cproquest_cross%3E69563094%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=69563094&rft_id=info:pmid/18797319&rfr_iscdi=true