Surgical treatment for an uncommon headache: A gap of 4800 years

Cephalalgia ◽  
2016 ◽  
Vol 37 (11) ◽  
pp. 1098-1101 ◽  
Author(s):  
Albert Isidro ◽  
Joan Manel Burdeus ◽  
Sergi Loscos ◽  
Javier Bara ◽  
Josep Bosch ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Upper Cervical Spine ◽  
Neolithic Period ◽  
Dental Calculus ◽  
Upper Cervical ◽  
Both Bones ◽  
Guided Puncture ◽  
Base Of The Skull ◽  
Cervical Spine Anomaly ◽  
Morphine Metabolites

Background Surgical management of headache due to anomalies in the cervical spine is uncommon, as most cases improve with drugs and/or physical therapy. Case We report two instances of a very uncommon congenital upper cervical spine anomaly due to the presence of a pseudoarthrosis between a unilateral paracondylar process in the base of the skull and an epitransverse process arising from the transverse apophysis (PCP/ETA). The first one corresponds to a male on whom an endoscopic guided puncture was performed, and the second to an adult male from the Neolithic period who showed two cranial trepanations together with the presence of morphine metabolites in both bones and dental calculus. Discussion We draw a parallel between the treatment of two individuals separated by a gap of more than 4800 years: contemporary direct vision of the false joint through a small endoscope, which provides an accurate puncture, and ancient double trepanation with clear signs of bone eburnation.

Wrist drop and muscle weakness of the fingers induced by an upper cervical spine anomaly

2013 ◽  
Vol 23 (S2) ◽  
pp. 218-221
Author(s):  
Daisuke Tsunoda ◽  
Haku Iizuka ◽  
Yoichi Iizuka ◽  
Masahiro Nishinome ◽  
Kenji Takagishi
Keyword(s):  
Cervical Spine ◽  
Muscle Weakness ◽  
Upper Cervical Spine ◽  
Upper Cervical ◽  
Wrist Drop ◽  
Cervical Spine Anomaly

Surgical Access to the Base of Skull and Upper Cervical Spine by Extended Maxillotomy

Neurosurgery ◽  
1991 ◽  
Vol 29 (3) ◽  
pp. 411-416 ◽  
Author(s):  
David James ◽  
Alan H. Crockard
Keyword(s):  
Cervical Spine ◽  
Surgical Technique ◽  
Osteogenesis Imperfecta ◽  
Basilar Invagination ◽  
Upper Cervical Spine ◽  
Surgical Access ◽  
Base Of Skull ◽  
Upper Cervical ◽  
Base Of The Skull ◽  
Extradural Space

Abstract An extended maxillotomy has been developed to permit wider surgical access to the base of the skull. It has proven particularly useful in the management of the previously untreatable neuraxial compression caused by basilar invagination in cases of osteogenesis imperfecta. In addition, patients with extensive extradural space-occupying lesions have been treated. The surgical technique is described and the results of its use in nine patients are presented.

Chordomas of the base of the skull and upper cervical spine. One hundred patients irradiated by a 3D conformal technique combining photon and proton beams

2005 ◽  
Vol 44 (7) ◽  
pp. 700-708 ◽  
Author(s):  
Georges Noël ◽  
Loic Feuvret ◽  
Valentin Calugaru ◽  
Frederic Dhermain ◽  
Hamid Mammar ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Upper Cervical Spine ◽  
Proton Beams ◽  
Upper Cervical ◽  
Base Of The Skull

Proton Dose Escalation in Base of the Skull and Upper Cervical Spine Chordomas

2005 ◽  
Vol 63 ◽  
pp. S266-S267
Author(s):  
G. Noel ◽  
L. Feuvret ◽  
F. Dhermain ◽  
H. Mammar ◽  
C. Nauraye ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Dose Escalation ◽  
Upper Cervical Spine ◽  
Upper Cervical ◽  
Base Of The Skull ◽  
Proton Dose

Endonasal Surgery of the Upper Cervical Spine: A Morphometric Analysis

Skull Base ◽  
2008 ◽  
Vol 18 (S 01) ◽  
Author(s):  
Harminder Singh ◽  
Bartosz Grobelny ◽  
Adam Flanders ◽  
Marc Rosen ◽  
Paul Schiffmacher ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Morphometric Analysis ◽  
Upper Cervical Spine ◽  
Endonasal Surgery ◽  
Upper Cervical

A 3D-Printed Model-Assisted Cervical Spine Instrumentation after Tumor Resection in a 4-Year-Old Child: A Case Report

2021 ◽  
pp. 1-7
Author(s):  
Marko Jug
Keyword(s):  
Cervical Spine ◽  
3D Model ◽  
Intraoperative Complications ◽  
Tumor Resection ◽  
Upper Cervical Spine ◽  
Spine Instrumentation ◽  
Cord Injury ◽  
Spinal Navigation ◽  
Upper Cervical ◽  
3D Printed

<b><i>Introduction:</i></b> In the case of tumor resection in the upper cervical spine, a multilevel laminectomy with instrumented fixation is required to prevent kyphotic deformity and myelopathy. Nevertheless, instrumentation of the cervical spine in children under the age of 8 years is challenging due to anatomical considerations and unavailability of specific instrumentation. <b><i>Case Presentation:</i></b> We present a case of 3D-printed model-assisted cervical spine instrumentation in a 4-year-old child with post-laminectomy kyphotic decompensation of the cervical spine and spinal cord injury 1 year after medulloblastoma metastasis resection in the upper cervical spine. Due to unavailability of specific instrumentation, 3D virtual planning was used to assess and plan posterior cervical fixation. Fixation with 3.5 mm lateral mass and isthmic screws was suggested and the feasibility of fixation was confirmed “in vitro” in a 3D-printed model preoperatively to reduce the possibility of intraoperative implant-spine mismatch. Intraoperative conditions completely resembled the preoperative plan and 3.5 mm polyaxial screws were successfully used as planned. Postoperatively the child made a complete neurological recovery and 2 years after the instrumented fusion is still disease free with no signs of spinal decompensation. <b><i>Discussion/Conclusion:</i></b> Our case shows that posterior cervical fixation with the conventional screw-rod technique in a 4-year-old child is feasible, but we suggest that suitability and positioning of the chosen implants are preoperatively assessed in a printed 3D model. In addition, a printed 3D model offers the possibility to better visualize and sense spinal anatomy “in vivo,” thereby helping screw placement and reducing the chance for intraoperative complications, especially in the absence of intraoperative spinal navigation.

scholarly journals Treatment of the Upper Cervical Spine Injury (experience of eight cases)

1981 ◽  
Vol 30 (1) ◽  
pp. 41-47
Author(s):  
M. Yamanaka ◽  
G. Awaya ◽  
S. Takata ◽  
N. Nishijima ◽  
S. Shimamura
Keyword(s):  
Cervical Spine ◽  
Cervical Spine Injury ◽  
Spine Injury ◽  
Upper Cervical Spine ◽  
Upper Cervical ◽  
Upper Cervical Spine Injury

scholarly journals Bartonella henselae osteoarthritis of the upper cervical spine in a 14-year-old boy

2015 ◽  
Vol 101 (4) ◽  
pp. 519-522 ◽  
Author(s):  
G. Mirouse ◽  
A. Journe ◽  
L. Casabianca ◽  
P.E. Moreau ◽  
S. Pannier ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Bartonella Henselae ◽  
Upper Cervical Spine ◽  
Upper Cervical
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