دورية أكاديمية
C1 Stenosis – An Easily Missed Cause for Cervical Myelopathy
| العنوان: | C1 Stenosis – An Easily Missed Cause for Cervical Myelopathy |
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| المؤلفون: | Andrei Fernandes Joaquim, Griffin Baum, Lee A. Tan, K. Daniel Riew |
| المصدر: | Neurospine, Vol 16, Iss 3, Pp 456-461 (2019) |
| بيانات النشر: | Korean Spinal Neurosurgery Society, 2019. |
| سنة النشر: | 2019 |
| المجموعة: | LCC:Neurology. Diseases of the nervous system |
| مصطلحات موضوعية: | Atlas, Stenosis, Hypoplasia, Cervical myelopathy, Neurology. Diseases of the nervous system, RC346-429 |
| الوصف: | C1 stenosis is often an easily missed cause for cervical myelopathy. The vast majority of cervical myelopathy occurs in the subaxial cervical spine. The cervical canal is generally largest at C1/2, explaining the relatively rare incidence of neurological deficits in patients with odontoid fractures. However, some subjects have anatomical anomalies of the atlas, which may cause stenosis and result in clinical symptoms similar to subaxial cord compression. Isolated pure atlas hypoplasia leading to stenosis is quite rare and may be associated with other anomalies, such as atlas clefts or transverse ligament calcification. It may also be more commonly associated with syndromic conditions such as Down or Turner syndrome. Although the diagnosis can be easily made with a cervical magnetic resonance imaging, the C3/2 spinolaminar test using a lateral cervical plain radiograph is a useful and sensitive tool for screening. Surgical treatment with a C1 laminectomy is generally necessary and any atlantoaxial or occipito-atlanto instability must be treated with spinal stabilization and fusion. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2586-6583 2586-6591 |
| Relation: | http://www.e-neurospine.org/upload/pdf/ns-1938200-100.pdf; https://doaj.org/toc/2586-6583; https://doaj.org/toc/2586-6591 |
| DOI: | 10.14245/ns.1938200.100 |
| URL الوصول: | https://doaj.org/article/e2a7d71fb7244c12ac21d4b3a2cabe96 |
| رقم الأكسشن: | edsdoj.2a7d71fb7244c12ac21d4b3a2cabe96 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 25866583 25866591 |
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| DOI: | 10.14245/ns.1938200.100 |