scholarly journals Retro-odontoid pseudotumor (pannus) with Forestier’s disease presenting with severe tetraparesis: A case report and literature review

2020 ◽  
Vol 11 ◽  
pp. 111
Author(s):  
Sven Bamps ◽  
Gert Roosen ◽  
Eric Put ◽  
Mark Plazier ◽  
Steven Vanvolsem ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Inflammatory Diseases ◽  
Diffuse Idiopathic Skeletal Hyperostosis ◽  
Atlantoaxial Instability ◽  
Case Description ◽  
Posterior Stabilization ◽  
Forestier’S Disease ◽  
Forestier's Disease ◽  
Transoral Resection

Background: A retro-odontoid pannus is often associated with inflammatory diseases. It can also have a noninflammatory cause due to chronic atlantoaxial instability. Case Description: Here, we report a patient with diffuse idiopathic skeletal hyperostosis and a severe noninflammatory retro-odontoid pannus who rapidly improved after posterior craniocervical decompression and arthrodesis. Conclusion: Transoral resection of the pannus, followed by posterior stabilization, is a common treatment for this condition. The pannus can, however, also reduce after posterior stabilization alone (e.g., craniocervical decompression).

Odontoid cervical gout causing atlantoaxial instability: case report

2019 ◽  
Vol 30 (4) ◽  
pp. 541-544
Author(s):  
Justin Slavin ◽  
Marcello DiStasio ◽  
Paul F. Dellaripa ◽  
Michael Groff
Keyword(s):  
Rheumatoid Arthritis ◽  
Spinal Cord ◽  
Case Report ◽  
Physical Examination ◽  
Odontoid Process ◽  
Signs And Symptoms ◽  
Cord Compression ◽  
Atlantoaxial Instability ◽  
Posterior Stabilization ◽  
Rotatory Subluxation

The authors present a case report of a patient discovered to have a rotatory subluxation of the C1–2 joint and a large retroodontoid pannus with an enhancing lesion in the odontoid process eventually proving to be caused by gout. This patient represented a diagnostic conundrum as she had known prior diagnoses of not only gout but also sarcoidosis and possible rheumatoid arthritis, and was in the demographic range where concern for an oncological process cannot fully be ruled out. Because she presented with signs and symptoms of atlantoaxial instability, she required posterior stabilization to reduce the rotatory subluxation and to stabilize the C1–2 instability. However, despite the presence of a large retroodontoid pannus, she had no evidence of spinal cord compression on physical examination or imaging and did not require an anterior procedure to decompress the pannus. To confirm the diagnosis but avoid additional procedures and morbidity, the authors proceeded with the fusion as well as a posterior biopsy to the retroodontoid pannus and confirmed a diagnosis of gout.

scholarly journals An unusual cause of dysphagia in elderly, dysphagia caused by cervical osteophytes: a case report and review of literature

2019 ◽  
Vol 5 (2) ◽  
pp. 520
Author(s):  
Uday Kiran Katari
Keyword(s):  
Case Report ◽  
Cervical Spine ◽  
Cervical Spondylosis ◽  
Inflammatory Diseases ◽  
Diffuse Idiopathic Skeletal Hyperostosis ◽  
Review Of Literature ◽  
Neck Stiffness ◽  
Cervical Osteophytes ◽  
Common Causes ◽  
Spine Diseases

<p class="abstract">Dysphagia may occur in various pathological, inflammatory diseases of esophagus. It may also occur due to motility disorders of esophagus, benign and malignant diseases of mediastinum, cervical spine diseases. Dysphagia secondary to compression of esophagus by a cervical osteophyte is rare. The most common causes of osteophyte (bony outgrowth) in the cervical spine are diffuse idiopathic skeletal hyperostosis (DISH), ankylosing spondylitis (AS), and cervical spondylosis. Patients with cervical osteophytes are mostly asymptomatic. Hence, when considering cervical osteophytes as a cause of dysphagia other pathologic entities in the esophagus (e.g. tumors, webs, rings, strictures) should be excluded. We present a 68 year female patient who presented with complaints of dysphagia and neck stiffness since 3 months. She has been evaluated and found that dysphagia is due to large anterior cervical osteophytes compressing pharynx at C2/C3 and esophagus at C5/C6 and C6/C7 vertebral levels respectively. The objective of this case report is to emphasize the importance of anterior cervical osteophyte as a cause of dysphagia in elderly.</p>

Bilateral Extensive Ossification of the Posterior Petroclinoid Ligament: An Anatomical Case Report and Literature Review

2018 ◽  
Vol 80 (02) ◽  
pp. 122-126 ◽  
Author(s):  
Robert Haładaj ◽  
Michał Polguj ◽  
Andrzej Żytkowski ◽  
Mirosław Topol ◽  
Grzegorz Wysiadecki
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Surgical Procedures ◽  
Oculomotor Nerve ◽  
Microsurgical Anatomy ◽  
Case Description ◽  
Detailed Data ◽  
Dorello’S Canal ◽  
Research Material ◽  
Close Proximity

Background The posterior petroclinoid dural fold (commonly referred to as a ligament) forms the roof of the trigeminal porus and the roof of the petroclival venous confluence. It lies in close proximity to the oculomotor nerve that crosses it. Due to the low availability of research material, only a few cadaveric studies have been conducted on the microsurgical anatomy of the petroclinoid ligament in cases of its ossification. Thus our report complements earlier studies and provides detailed data on the spatial relationships between the ossified posterior petroclinoid ligament and the trigeminal, oculomotor, and abducens nerves, with special attention to the topographical relationships within the petroclival venous confluence and Dorello's canal. Case Description Bilateral massive ossification of the posterior petroclinoid ligament was observed during the dissection of a 76-year-old female cadaver. The presence of an osseous bridge over the trigeminal notch was also detected on the left side. No narrowing of the space occupied by the petroclival venous confluence was observed. However, the dural sheath of the oculomotor nerve was fixed much more than usual. Conclusions Because the ossification of the posterior petroclinoid ligament may be considered a factor influencing diagnostic and surgical procedures, neurosurgeons and neuroradiologists should be aware of this variation. Ossification of the posterior petroclinoid ligament may also potentially result in greater susceptibility of the oculomotor nerve to injury.

Rapidly progressive dysphagia caused by Forestier’s disease: a case report

2005 ◽  
Vol 117 (5-6) ◽  
pp. 234-236 ◽  
Author(s):  
Klaus Galiano ◽  
Thaddaeus Gotwald ◽  
Hans Maier ◽  
Reinhold Schatzer ◽  
Alois Albert Obwegeser
Keyword(s):  
Case Report ◽  
Forestier’S Disease ◽  
Forestier's Disease ◽  
Progressive Dysphagia

scholarly journals Dysplasia and anomalies of atlas result in pediatric torticollis: A case report and literature review

2020 ◽  
Vol 11 ◽  
pp. 471
Author(s):  
Tushar Narayan Rathod ◽  
Ashwin Hemant Sathe ◽  
Nandan Amrit Marathe ◽  
Abhinav Jogani ◽  
Abhinandan Reddy Mallepally ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Rare Case ◽  
Craniovertebral Junction ◽  
Case Description ◽  
Differential Growth ◽  
Rotatory Subluxation ◽  
The Right

Background: Often, the cause of bony torticollis is difficult to determine, especially in cases of multiple craniovertebral junction anomalies. Case Description: We report a rare case of a dysplastic C1 vertebra (assimilation to the right occiput and C2, a nonseparated left odontoid, and discontinuity in both anterior and posterior arches of the atlas) in a 6-year-old child with progressive torticollis. Notably, the mechanism of torticollis was not a rotatory subluxation of C1-C2, but differential growth between C1-C2. The child underwent a successful C1-C2 Goel and Harms fusion with reduction/correction of the torticollis. Conclusion: Torticollis caused by differential growth between the C1 and C2 vertebrae resulting in a nonrotatory subluxation/torticollis in a 6-year-old child, was successfully managed with a C1-C2 Goel and Harm’s fusion.

scholarly journals Combination of Forestier’s disease and laryngeal cancer: a rare clinical case

2020 ◽  
Vol 10 (2) ◽  
pp. 79-84
Author(s):  
А. М. Zaytsev ◽  
А. P. Polyakov ◽  
М. V. Ratushny ◽  
Т. М. Kobyletskaya ◽  
S. А. Kisariev ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Laryngeal Cancer ◽  
Vocal Fold ◽  
Clinical Case ◽  
Anterior Commissure ◽  
Diffuse Idiopathic Skeletal Hyperostosis ◽  
Movement Restriction ◽  
Forestier’S Disease ◽  
Swallowing Difficulties ◽  
Forestier's Disease

The objective of the scientific report is to describe a rare clinical case of a combination of Forestier’s disease (diffuse idiopathic skeletal hyperostosis) and laryngeal cancer that have common symptoms. Case report. A 68-year-old male patient presented with hoarseness lasting for a year. Indirect laryngoscopy revealed a vocal fold tumor. Histological examination confirmed well-differentiated keratinizing squamous cell carcinoma of the larynx. A 6-cm tumor was located in the projection of the right vocal fold and had no signs of invasion into the supraglottis, subglottis, and anterior commissure. No other focal disorders were detected. The patient has undergone endolaryngeal laser resection of the larynx and tracheostomy. After probe removal, the patient had swallowing difficulties with esophageal content passing to the trachea mainly due to organic changes in the cervical spine at the СЗ–С4 level, where there was a massive local calcification of the anterior longitudinal ligament. We also noticed severe movement restriction in the cervical spine: the amplitude of movements did not exceed 10°. The formation of the C3–C4 segment was removed via ventrolateral approach. Conclusion. Dysphagia, dysphonia, and dyspnea may indicate both malignant tumor and large osteophyte causing compression of the trachea and esophagus. In this case, no symptom resolution after tumor removal led to the suspicion of a second disease, namely Forestier’s disease.

Forestier's Disease: A case report

1978 ◽  
Vol 13 (2) ◽  
pp. 249
Author(s):  
Eun Woo Lee ◽  
Jho Woong Kang ◽  
Woong Sup Yoon ◽  
Kun Young Jung
Keyword(s):  
Case Report ◽  
Forestier’S Disease ◽  
Forestier's Disease

Dysphonia Caused by Forestier's Disease

1988 ◽  
Vol 97 (3) ◽  
pp. 275-276 ◽  
Author(s):  
Isaac Gay ◽  
Joseph Elidan
Keyword(s):  
Ct Scan ◽  
Vertebral Body ◽  
Diffuse Idiopathic Skeletal Hyperostosis ◽  
Mass Effect ◽  
Forestier’S Disease ◽  
Bony Mass ◽  
First Time ◽  
Forestier's Disease

A case of diffuse idiopathic skeletal hyperostosis (Forestier's disease) causing dysphonia as the presenting and only symptom is reported. The dysphonia is attributed to the mass effect in the hypopharynx and the mild pressure on the larynx. The bony mass anterior to the vertebral body is demonstrated by CT scan for the first time in the literature on Forestier's disease.

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