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A Staged Approach for Surgical Management of Basilar Invagination.
Oper Neurosurg (Hagerstown)
October 2024
Department of Neurosurgery, Bicêtre Hospital, AP-HP, Le Kremlin-Bicêtre , France.
Background And Objectives: Patients with basilar invagination (BI) can be treated with several surgical options, ranging from simple posterior decompression to circumferential decompression and fusion. Here, we aimed at examining the indications and outcomes associated with these surgical strategies to devise a staged algorithm for managing BI.
Methods: We conducted a retrospective cohort study in 2 neurosurgical centers and included patients with a BI, as defined by a position of the dens tip at least 5 mm above the Chamberlain line.
Basilar Impression: A Systematic Review and Meta-Analysis of Clinical Features, Operative Strategies, and Outcomes.
World Neurosurg
September 2024
Department of Neurological Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA; Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Objective: Basilar impression (BI) is a rare yet debilitating abnormality of the craniovertebral junction, known to cause life-threatening medullary brainstem compression. Our study analyzes surgical approaches for BI and related outcomes.
Methods: A systematic review was conducted using PubMed, Google Scholar, and Web of Science electronic databases according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines to critically assess primary articles examining BI.
A Novel Technique for Basilar Invagination Treatment in a Patient with Klippel-Feil Syndrome: A Clinical Example and Brief Literature Review.
Medicina (Kaunas)
April 2024
Department of Orthopaedic Surgery, Okayama University Hospital, Okayama 700-8558, Japan.
: To present a novel technique of treatment for a patient with basilar invagination. Basilar invagination (BI) is a congenital condition that can compress the cervicomedullary junction, leading to neurological deficits. Severe cases require surgical intervention, but there is debate over the choice of approach.
View Article and Find Full Text PDFDysphagia as a primary manifestation of basilar impression: A case report.
Endocrinol Diabetes Nutr (Engl Ed)
March 2024
Servicio de Endocrinología y Nutrición del Complejo Asistencial Universitario de León, Spain.
Secondary basilar invagination or basilar impression is an anomaly at the craniovertebral junction where the odontoid process prolapses into the foramen magnum with the risk of compressing adjacent structures and obstructing the proper flow of cerebrospinal fluid (CSF). The incidence is less than 1% in the general population and occurs mainly in the first three decades of life when it is associated with malformations of the neuroaxis. In older age, the main aetiologies are diseases that alter bone mineral density.
View Article and Find Full Text PDFNeurocranial growth in the OIM mouse model of osteogenesis imperfecta.
Anat Rec (Hoboken)
March 2024
Department of Physiology and Anatomy, University of North Texas Health Science Center, Fort Worth, Texas, USA.
Osteogenesis imperfecta (OI) is a disorder of type I collagen characterized by abnormal bone formation. The OI craniofacial phenotype includes midfacial underdevelopment, as well as neurocranial changes (e.g.
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