Occipitalization of atlas - a case report

AbstractThe atlas vertebra articulates with the occipital bone of the skull by a pair of sunovial joints. Occipitalization is a congenital fusion of the atlas to the base of the occiput which reduces the foramen mangnum dimension leading to neurological complications due to compression of spinal cord. Individuals with occipitalization of the atlas may have low hairline, torticollis, restricted neck movement and abnormal short neck. During routine osteology demonstration class for undergraduate students, a total atlanto-occipital fusion was seen. The clinical implications of altanto-occipitalization may be beneficial for neurosurgeons, neurologists, orthopaedic surgeons and radiologists in day-to-day clinical practice.

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Hereditary hemorrhagic telangectasia and spinal cord infarct: Case report with a review of the neurological complications of HHT

Clinical Neurology and Neurosurgery ◽

10.1016/j.clineuro.2008.01.005 ◽

2008 ◽

Vol 110 (5) ◽

pp. 484-491 ◽

Cited By ~ 17

Author(s):

Patricio S. Espinosa ◽

L. Creed Pettigrew ◽

Joseph R. Berger

Keyword(s):

Spinal Cord ◽

Case Report ◽

Neurological Complications ◽

Spinal Cord Infarct

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Can scoliosis lead to spinal cord ischaemia? Early diagnosis and rehabilitation: A paradigmatic case report and literature review

Journal of Back and Musculoskeletal Rehabilitation ◽

10.3233/bmr-200070 ◽

2020 ◽

pp. 1-5 ◽

Cited By ~ 1

Author(s):

Lorenzo Lippi ◽

Alessandro de Sire ◽

Manuela Desilvestri ◽

Alessio Baricich ◽

Andrea Barbanera ◽

...

Keyword(s):

Spinal Cord ◽

Case Report ◽

Early Diagnosis ◽

Neurological Complications ◽

Spinal Curvature ◽

Spinal Cord Infarction ◽

Rehabilitative Treatment ◽

Severe Scoliosis ◽

Spinal Cord Ischaemia ◽

Cord Injury

INTRODUCTION: Scoliosis is frequently associated with pain and radiculopathy, but it is not considered a possible cause of acute spinal cord injury (SCI). Here we present a case report in which scoliosis was apparently linked to spinal cord ischaemia. CASE PRESENTATION: A 20-year-old woman with conservatively treated severe scoliosis presented with acute spinal cord infarction, which occurred during a spinal flexion while she was tidying up the bed. Other causes of SCI were excluded. Early rehabilitation was started and the patient progressively regained motor and sensory functions, with an AIS reduction from A to C. Bowel and bladder disorders persisted and were autonomously managed with a trans-anal irrigation device and intermittent catheterisation after voluntary micturition. DISCUSSION: Early detection and management of spinal curvature disorders are essential in preventing long-term complications of scoliosis. Although the aetiology of spinal cord ischaemia in severe scoliosis should be better clarified, this rare case report suggests that scoliosis might be involved in its pathogenesis. Thus, we recommend early diagnosis of spinal curvature disorders and adequate rehabilitative treatment in order to prevent potential subsequent neurological complications.

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Retropharyngeal abscess causing grisel’s syndrome secondary to tuberculosis of cervical spine, a rare form of torticollis: case report

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20211584 ◽

2021 ◽

Vol 7 (5) ◽

pp. 871

Author(s):

Reegina Sivarajan ◽

Mohammad Fuaz Mahfuz ◽

Siti Hajar Sanudin

Keyword(s):

Case Report ◽

Neck Pain ◽

Neurological Complications ◽

Retropharyngeal Abscess ◽

Atlantoaxial Joint ◽

Neck Movement ◽

Neck Stiffness ◽

Rare Type ◽

Neck Infection ◽

Grisel’S Syndrome

<p>Grisel’s syndrome is a rare type of non-traumatic subluxation of an atlantoaxial joint characterized by torticollis, neck pain, and reduced neck movement. The common causes of Grisel’s syndrome are head and neck infection or post-otorhinolaryngology (ORL) procedures. We are reporting a case of a 3-year-old boy with a gradual worsening of neck stiffness, neck pain, and restricted neck movement for more than one month. The patient had no history of trauma. The computerized tomographic (CT) showed a retropharyngeal abscess with a bony erosion causing atlantoaxial subluxation. The management and progress of this patient are discussed. The objective of this case report is to emphasize that Grisel’s syndrome should be considered a differential in a painful torticollis to prompt an early diagnosis and treatment to prevent serious neurological complications.</p>

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Facilitating End-of-Life Interaction Between Patients With Severe Communication Impairment and Their Families

Perspectives of the ASHA Special Interest Groups ◽

10.1044/2021_persp-20-00282 ◽

2021 ◽

pp. 1-5

Author(s):

Adithya Chandregowda ◽

Julie A. G. Stierwalt ◽

Heather M. Clark

Keyword(s):

Case Report ◽

Clinical Practice ◽

End Of Life ◽

Chart Review ◽

Clinical Implications ◽

Pertinent Literature ◽

Communication Impairment ◽

Medical Chart Review ◽

Patient Interaction ◽

Alertness Level

Purpose The purpose of this report is to promote conversation among medical speech-language pathologists (SLPs) about their role in facilitating family–patient interaction involving patients who acutely encounter the end-of-life (EOL) phase and have severe communication impairment. Case Report We provide self-reflections from our own clinical practice, pertinent literature review, and medical chart review of a relevant patient to serve as a catalyst for such discussion. Reflections We share a preliminary handout containing strategies that SLPs could provide family members of patients who have encountered an EOL phase and have severe communication impairment (e.g., global aphasia) and reduced alertness level. Clinical Implications SLPs can play an important role in facilitating EOL patient–family interaction and alleviate suffering even when patients have severe communication impairment.

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Spinomedullary Weston Hurst Syndrome After COVID-19 and Influenza Co-Infection: A Case Report

The Neurohospitalist ◽

10.1177/19418744211047773 ◽

2021 ◽

pp. 194187442110477

Author(s):

Spencer Kristian Hutto ◽

Otto Rapalino ◽

Nagagopal Venna

Keyword(s):

Spinal Cord ◽

Case Report ◽

Neurological Complications ◽

Neuromuscular System ◽

Acute Hemorrhagic Leukoencephalitis ◽

Spinal Cord Involvement ◽

Atypical Features ◽

Hemosiderin Deposition ◽

Compare And Contrast ◽

Post Infectious

The neurological complications of coronavirus disease 2019 (SARS-CoV-2, COVID-19) have so far included a range of para- and post-infectious neuroinflammatory syndromes inclusive of all components of the neuraxis and peripheral neuromuscular system. In comparison to the para-infectious manifestations of anosmia, ageusia, encephalopathy, and encephalitis, cases of post-infectious ADEM have rarely been reported and have most commonly affected the supratentorial component with or without spinal cord involvement. In this report, we describe a case of isolated involvement of the cervicothoracic spinal cord and medulla, occurring in association with microhemorrhages and hemosiderin deposition in the medulla, that presented fulminantly and required aggressive immunotherapy to control the inflammatory attack. We compare and contrast this case against prior reports of acute hemorrhagic leukoencephalitis (Weston Hurst syndrome) and review the atypical features of neuroinflammation reported to occur following COVID-19 infection.

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Anomalous Higher Branching Pattern of the Femoral Nerve: a Case Report with Clinical Implications

Acta Medica (Hradec Kralove Czech Republic) ◽

10.14712/18059694.2017.93 ◽

2007 ◽

Vol 50 (4) ◽

pp. 245-246 ◽

Cited By ~ 2

Author(s):

Srijit Das ◽

Neelam Vasudeva

Keyword(s):

Case Report ◽

Clinical Practice ◽

Femoral Nerve ◽

Inguinal Ligament ◽

Clinical Implications ◽

Branching Pattern ◽

Rare Finding ◽

Male Cadaver

The femoral nerve usually divides into anterior and posterior branches below the inguinal ligament. In the present case, we report the anomalous higher branching pattern of the femoral nerve on both sides of a 52 year male cadaver. The femoral nerve divided into the anterior and posterior branches above the inguinal ligament. Such a higher division of femoral nerve is a rare finding and it may be important for surgeons, orthopaedicians and anaesthetists in day to day clinical practice.

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