A case of lateral atlantooccipital dislocation is presented, and its successful management is outlined, demonstrating the importance of the physical examination and the utilization of computed tomography. Open reduction and stabilization with direct visualization of the spinal axis is the preferred method of treatment.
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http://dx.doi.org/10.1227/00006123-198508000-00021 | DOI Listing |
World Neurosurg
January 2025
Department of Neurosurgery, Zhongshan Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, Fu Jian, China. Electronic address:
Objective: This study aims to elucidate the anatomical principles governing the surrounding venous structures (VS) of the horizontal part of the third segment of the vertebral artery (V3h) and develop a safe and bloodless surgical technique for exposing V3h.
Methods: This study used 10 formalin-infused cadaveric head specimens. The dissections were performed stepwise to simulate the far lateral approach process, exposing the V3h with a novel technique.
BMJ Case Rep
December 2024
Neurology, Centro Hospitalar de Tras-os-Montes e Alto Douro EPE, Vila Real, Portugal.
Vertebrobasilar ischaemia happens for a myriad of reasons. Among the rarest is the existence of a foramen arcuale (FA). This condition results from the ossification of the lateral edge of the posterior atlantooccipital membrane, closing, completely or partially, the top of this groove, turning it into a foramen or a channel.
View Article and Find Full Text PDFWorld Neurosurg
November 2024
Department of Neurosurgery, National Institute of Mental Health and Neurosciences, Bangalore, India. Electronic address:
Chiari malformations, characterized by the herniation of cerebellar tonsils through the foramen magnum, are complex neurosurgical conditions that pose significant diagnostic and therapeutic challenges. Traditional interventions, such as foramen magnum decompression, have been the mainstay of treatment but are not universally effective, especially in cases with underlying atlantoaxial instability. However, recent studies highlight the importance of atlantoaxial instability in their pathogenesis, shifting the therapeutic focus towards atlantoaxial fixation.
View Article and Find Full Text PDFNeurosurg Rev
August 2024
Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, No. 45, Changchun Street, Xicheng District, Beijing, 100053, China.
Basilar invagination (BI) is a common deformity. This study aimed to quantitatively evaluate the height of clivus and atlanto-occipital lateral mass (LM) in patients with BI with or without atlas occipitalization (AOZ). We evaluated 166 images of patients with BI and of controls.
View Article and Find Full Text PDFJ Biomech
August 2024
University of Pittsburgh, Department of Orthopaedic Surgery, Pittsburgh, PA, United States.
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