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Neuraxial biomechanics, fluid dynamics, and myodural regulation: rethinking management of hypermobility and CNS disorders.
Front Neurol
December 2024
Neuromuscular Imaging Research Lab, The Kolling Institute, North Sydney Local Health District, St Leonards, NSW, Australia.
Individuals with joint hypermobility and the Ehlers-Danlos Syndromes (EDS) are disproportionately affected by neuraxial dysfunction and Central Nervous System (CNS) disorders: such as Spontaneous Intracranial Hypotension (SIH) due to spinal cerebrospinal fluid (CSF) leaks, Upper Cervical Instability (UCI; including craniocervical or atlantoaxial instability (CCI/AAI)), Occult Tethered Cord Syndrome (TCS), Chiari Malformation (CM) and Idiopathic Intracranial Hypertension (IIH). The neuraxis comprises the parts of the nervous system (brain, nerves, spinal cord) along the craniospinal axis of the body. Neuraxial tissue includes all tissue structures that comprise, support, sheath, and connect along the neuraxis and peripheral nerves.
View Article and Find Full Text PDFTorticollis in incomplete Kawasaki disease: a case of atlantoaxial rotatory fixation.
BJR Case Rep
November 2024
Department of Orthopaedic Surgery, Tokyo Metropolitan Toshima Hospital, Tokyo 173-0015, Japan.
Various respiratory, musculoskeletal, gastrointestinal, neurological, and urinary complications have been reported in Kawasaki disease. Here, we describe a rare case of atlantoaxial rotatory fixation (AARF) associated with incomplete Kawasaki disease. The case is of a healthy 4-year-old Japanese boy who had a high-grade fever, lymphadenopathy, and torticollis diagnosed with incomplete Kawasaki disease.
View Article and Find Full Text PDFGrisel's Syndrome After COVID-19 in a Pediatric Patient: A Case Report.
Cureus
June 2024
Orthopedic Surgery, Kindai University Hospital, Osakasayama, JPN.
An eight-year-old female presenting with posterior neck pain and torticollis who had been diagnosed with coronavirus disease 2019 (COVID-19) three weeks earlier was radiographed and diagnosed with atlantoaxial rotatory fixation (AARF). Following treatment with non-steroidal anti-inflammatory drugs (NSAIDs), the posterior neck pain improved, and the torticollis was cured. Symptoms returned after two weeks, and computed tomography showed a 3.
View Article and Find Full Text PDFDefining role of atlantoaxial and subaxial spinal instability in the pathogenesis of cervical spinal degeneration: Experience with "only-fixation" without any decompression as treatment in 374 cases over 10 years.
J Craniovertebr Junction Spine
March 2024
Department of Neurosurgery, R. N. Cooper Municipal General Hospital, Mumbai, India.
Article Synopsis
- - The study evaluates 374 cases of cervical radiculopathy/myelopathy linked to spinal degeneration, particularly focusing on spinal instability as a key factor in treatment.
- - All patients underwent a specific surgical stabilization technique without decompression procedures, primarily for arthrodesis of the affected cervical segments.
- - Follow-up results showed significant clinical improvement, especially in patients with severe myelopathy, with many regaining the ability to walk unassisted and no major repeat surgeries needed.
C1-C2 Spontaneous Fusion Leading to Resolution of Mobile Atlantoaxial Dislocation in a Child with CVJ Tuberculosis.
Neurol India
January 2024
Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India.
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