Nontraumatic Atlantoaxial Rotary Subluxation in the Pediatric Otolaryngology Patient: A Report of Four Cases
Nontraumatic atlantoaxial rotary subluxation (NAARS) is a relatively uncommon entity, with inconsistent presentations. It most commonly follows infectious processes or operative procedures. We present our experience with 4 pediatric otolaryngology patients with NAARS who were treated at the Universi...
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| Veröffentlicht in: | Annals of otology, rhinology & laryngology rhinology & laryngology, 2001-12, Vol.110 (12), p.1137-1140 |
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| container_title | Annals of otology, rhinology & laryngology |
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| creator | Holcomb, J. David Jaffe, Debra M. Bauman, Nancy M. Greinwald, John H. Smith, Richard J. H. |
| description | Nontraumatic atlantoaxial rotary subluxation (NAARS) is a relatively uncommon entity, with inconsistent presentations. It most commonly follows infectious processes or operative procedures. We present our experience with 4 pediatric otolaryngology patients with NAARS who were treated at the University of Iowa Hospitals and Clinics during a 2-year period beginning in 1997. A review of the symptoms, physical findings, and radiographic abnormalities is presented. Treatment options, varying from muscle relaxants to surgical fusion, are discussed. A high index of suspicion in evaluating children with a stiff neck or pain on attempted motion is essential in order to facilitate prompt diagnosis and appropriate intervention. |
| doi_str_mv | 10.1177/000348940111001210 |
| format | Article |
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David ; Jaffe, Debra M. ; Bauman, Nancy M. ; Greinwald, John H. ; Smith, Richard J. H.</creator><creatorcontrib>Holcomb, J. David ; Jaffe, Debra M. ; Bauman, Nancy M. ; Greinwald, John H. ; Smith, Richard J. H.</creatorcontrib><description>Nontraumatic atlantoaxial rotary subluxation (NAARS) is a relatively uncommon entity, with inconsistent presentations. It most commonly follows infectious processes or operative procedures. We present our experience with 4 pediatric otolaryngology patients with NAARS who were treated at the University of Iowa Hospitals and Clinics during a 2-year period beginning in 1997. A review of the symptoms, physical findings, and radiographic abnormalities is presented. Treatment options, varying from muscle relaxants to surgical fusion, are discussed. A high index of suspicion in evaluating children with a stiff neck or pain on attempted motion is essential in order to facilitate prompt diagnosis and appropriate intervention.</description><identifier>ISSN: 0003-4894</identifier><identifier>EISSN: 1943-572X</identifier><identifier>DOI: 10.1177/000348940111001210</identifier><identifier>PMID: 11768704</identifier><identifier>CODEN: AORHA2</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Atlanto-Axial Joint - diagnostic imaging ; Atlanto-Axial Joint - injuries ; Biological and medical sciences ; Child ; Diagnosis, Differential ; Diseases of the osteoarticular system ; Diseases of the spine ; Female ; Humans ; Imaging, Three-Dimensional ; Joint Dislocations - diagnostic imaging ; Joint Dislocations - etiology ; Joint Dislocations - therapy ; Male ; Medical sciences ; Tomography, X-Ray Computed ; Torticollis - diagnostic imaging ; Torticollis - etiology ; Torticollis - therapy</subject><ispartof>Annals of otology, rhinology & laryngology, 2001-12, Vol.110 (12), p.1137-1140</ispartof><rights>2001 SAGE Publications</rights><rights>2002 INIST-CNRS</rights><rights>Copyright Annals Publishing Company Dec 2001</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c347t-9a07f7e3f59bce776f32e17c7f77941069f52ed4efb3cbcd53608225e115731c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/000348940111001210$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/000348940111001210$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21799,27903,27904,43600,43601</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13379348$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11768704$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Holcomb, J. David</creatorcontrib><creatorcontrib>Jaffe, Debra M.</creatorcontrib><creatorcontrib>Bauman, Nancy M.</creatorcontrib><creatorcontrib>Greinwald, John H.</creatorcontrib><creatorcontrib>Smith, Richard J. H.</creatorcontrib><title>Nontraumatic Atlantoaxial Rotary Subluxation in the Pediatric Otolaryngology Patient: A Report of Four Cases</title><title>Annals of otology, rhinology & laryngology</title><addtitle>Ann Otol Rhinol Laryngol</addtitle><description>Nontraumatic atlantoaxial rotary subluxation (NAARS) is a relatively uncommon entity, with inconsistent presentations. It most commonly follows infectious processes or operative procedures. We present our experience with 4 pediatric otolaryngology patients with NAARS who were treated at the University of Iowa Hospitals and Clinics during a 2-year period beginning in 1997. A review of the symptoms, physical findings, and radiographic abnormalities is presented. Treatment options, varying from muscle relaxants to surgical fusion, are discussed. A high index of suspicion in evaluating children with a stiff neck or pain on attempted motion is essential in order to facilitate prompt diagnosis and appropriate intervention.</description><subject>Atlanto-Axial Joint - diagnostic imaging</subject><subject>Atlanto-Axial Joint - injuries</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Diagnosis, Differential</subject><subject>Diseases of the osteoarticular system</subject><subject>Diseases of the spine</subject><subject>Female</subject><subject>Humans</subject><subject>Imaging, Three-Dimensional</subject><subject>Joint Dislocations - diagnostic imaging</subject><subject>Joint Dislocations - etiology</subject><subject>Joint Dislocations - therapy</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Tomography, X-Ray Computed</subject><subject>Torticollis - diagnostic imaging</subject><subject>Torticollis - etiology</subject><subject>Torticollis - therapy</subject><issn>0003-4894</issn><issn>1943-572X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kF9LwzAUxYMobk6_gA9SBH2ry03SZn2U4T8YbugE30qaprOjbWaSwvbtTVlhoGBeLsn9nZN7D0KXgO8AOB9jjCmbJAwDAMZAAB-hISSMhhEnn8do2AFhRwzQmbVrf2URJqdo4OXxhGM2RMtX3Tgj2lq4Ugb3rhKN02Jbiip4006YXfDeZlW79W3dBGUTuC8VLFReCme8YO505aFmpSu92gULj6nGnaOTQlRWXfR1hD4eH5bT53A2f3qZ3s9CSRl3YSIwL7iiRZRkUnEeF5Qo4NI_8oQBjpMiIipnqsiozGQe0RhPCIkUQMQpSDpCt3vfjdHfrbIurUsrVeWXULq1KSeUM-rPCF3_Ate6NY2fLSXAJ0kcQQeRPSSNttaoIt2YsvbbpYDTLvD0b-BedNU7t1mt8oOkT9gDNz0grBRVYUQjS3vgKOWJN_XceM9ZsVKH8f75-gdLV5UI</recordid><startdate>20011201</startdate><enddate>20011201</enddate><creator>Holcomb, J. 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David ; Jaffe, Debra M. ; Bauman, Nancy M. ; Greinwald, John H. ; Smith, Richard J. 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David</au><au>Jaffe, Debra M.</au><au>Bauman, Nancy M.</au><au>Greinwald, John H.</au><au>Smith, Richard J. H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nontraumatic Atlantoaxial Rotary Subluxation in the Pediatric Otolaryngology Patient: A Report of Four Cases</atitle><jtitle>Annals of otology, rhinology & laryngology</jtitle><addtitle>Ann Otol Rhinol Laryngol</addtitle><date>2001-12-01</date><risdate>2001</risdate><volume>110</volume><issue>12</issue><spage>1137</spage><epage>1140</epage><pages>1137-1140</pages><issn>0003-4894</issn><eissn>1943-572X</eissn><coden>AORHA2</coden><abstract>Nontraumatic atlantoaxial rotary subluxation (NAARS) is a relatively uncommon entity, with inconsistent presentations. It most commonly follows infectious processes or operative procedures. We present our experience with 4 pediatric otolaryngology patients with NAARS who were treated at the University of Iowa Hospitals and Clinics during a 2-year period beginning in 1997. A review of the symptoms, physical findings, and radiographic abnormalities is presented. Treatment options, varying from muscle relaxants to surgical fusion, are discussed. A high index of suspicion in evaluating children with a stiff neck or pain on attempted motion is essential in order to facilitate prompt diagnosis and appropriate intervention.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>11768704</pmid><doi>10.1177/000348940111001210</doi><tpages>4</tpages></addata></record> |
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| subjects | Atlanto-Axial Joint - diagnostic imaging Atlanto-Axial Joint - injuries Biological and medical sciences Child Diagnosis, Differential Diseases of the osteoarticular system Diseases of the spine Female Humans Imaging, Three-Dimensional Joint Dislocations - diagnostic imaging Joint Dislocations - etiology Joint Dislocations - therapy Male Medical sciences Tomography, X-Ray Computed Torticollis - diagnostic imaging Torticollis - etiology Torticollis - therapy |
| title | Nontraumatic Atlantoaxial Rotary Subluxation in the Pediatric Otolaryngology Patient: A Report of Four Cases |
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