Ventral cervicomedullary function compression secondary to condylus occipitalis (median occipital condyle), a rare entity

Objective: Condylus occipitalis is presented in postmortem anatomic studies. There is no clinical study in the literature. Myelopathy due to anomalies of the craniovertebral junction is rare in neurosurgical practices. To our knowledge, myelopathy due to condylus occipitalis has not been reported before. Deaths of two cases were previously reported, but these were not live cases. Methods: We describe the case of a 40-year-old woman presenting with progressive myelopathy related to condylus occipitalis located in the anterior foramen magnum region. Results: Magnetic resonance imaging and computed tomography showed the condylus occipitalis, marked stenosis of the spinal canal at the level of the atlas, with cord compression and evidence of myelopathy. We performed posterior decompression without fusion and duraplasty. Because the cervicomedullary compression syndrome was not resolved, a transoral decompression could not be done owing to pulmonary insufficiency. Conclusions: This unique clinical article (a live case), not anatomic, presents a very rare abnormality of the craniovertebral junction. Myelopathy is a very important complication of this congenital craniovertebral junction abnormality Posterior decompression seems not to be effective for myelopathy due to condylus occipitalis. In our opinion, anterior decompression is needed in this condition. A larger series will be needed to better define its role in the management of this anomaly.

Yazar Kotil, K
Kalayci, M
Yayın Türü Review
Tek Biçim Adres https://hdl.handle.net/20.500.12628/3772
Tek Biçim Adres 10.1097/01.bsd.0000166639.23448.32
Koleksiyonlar Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD
PubMed İndeksli Yayınlar Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu
Sayfalar 382 - 384
Yayın Yılı 2005
Eser Adı
[dc.title]
Ventral cervicomedullary function compression secondary to condylus occipitalis (median occipital condyle), a rare entity
Yayın Yılı
[dc.date.issued]
2005
Yayıncı
[dc.publisher]
LIPPINCOTT WILLIAMS & WILKINS
Yayın Türü
[dc.type]
review
Açıklama
[dc.description]
WOS: 000231026100015
Açıklama
[dc.description]
PubMed: 16021022
Özet
[dc.description.abstract]
Objective: Condylus occipitalis is presented in postmortem anatomic studies. There is no clinical study in the literature. Myelopathy due to anomalies of the craniovertebral junction is rare in neurosurgical practices. To our knowledge, myelopathy due to condylus occipitalis has not been reported before. Deaths of two cases were previously reported, but these were not live cases. Methods: We describe the case of a 40-year-old woman presenting with progressive myelopathy related to condylus occipitalis located in the anterior foramen magnum region. Results: Magnetic resonance imaging and computed tomography showed the condylus occipitalis, marked stenosis of the spinal canal at the level of the atlas, with cord compression and evidence of myelopathy. We performed posterior decompression without fusion and duraplasty. Because the cervicomedullary compression syndrome was not resolved, a transoral decompression could not be done owing to pulmonary insufficiency. Conclusions: This unique clinical article (a live case), not anatomic, presents a very rare abnormality of the craniovertebral junction. Myelopathy is a very important complication of this congenital craniovertebral junction abnormality Posterior decompression seems not to be effective for myelopathy due to condylus occipitalis. In our opinion, anterior decompression is needed in this condition. A larger series will be needed to better define its role in the management of this anomaly.
Tek Biçim Adres
[dc.identifier.uri]
https://dx.doi.org/10.1097/01.bsd.0000166639.23448.32
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/3772
Yayın Dili
[dc.language.iso]
eng
Yazar
[dc.contributor.author]
Kotil, K
Yazar
[dc.contributor.author]
Kalayci, M
Haklar
[dc.rights]
info:eu-repo/semantics/closedAccess
İlk Sayfa Sayısı
[dc.identifier.startpage]
382
Son Sayfa Sayısı
[dc.identifier.endpage]
384
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
9
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
28 Mart 2024 05:41
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Tıklayınız
occipitalis condylus decompression myelopathy junction craniovertebral abnormality anterior reported anatomic clinical Myelopathy compression needed insufficiency pulmonary management transoral resolved syndrome cervicomedullary Because duraplasty fusion without anomaly posterior Conclusions series effective Posterior performed larger congenital complication
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