Cervical Myelopathy Caused by a Split Atlas Anomaly: A Case Report
An 18-year-old male presented with a 6-month history of paresthesia of both arms and legs after a minor neck trauma. CT scan revealed a partial aplasia of the anterior and posterior arches of the C1 vertebra resulting in a split atlas. MRI showed an intramedullary high-signal area. We performed a po...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Karger Publishers
2021-06-01
|
| Series: | Case Reports in Orthopedic Research |
| Subjects: | |
| Online Access: | https://www.karger.com/Article/FullText/516770 |
| _version_ | 1818439612286107648 |
|---|---|
| author | Mehdi Meddeb Hassen Makhlouf Sofiene Bouali Khalil Habboubi Mondher Mestiri |
| author_facet | Mehdi Meddeb Hassen Makhlouf Sofiene Bouali Khalil Habboubi Mondher Mestiri |
| author_sort | Mehdi Meddeb |
| collection | DOAJ |
| description | An 18-year-old male presented with a 6-month history of paresthesia of both arms and legs after a minor neck trauma. CT scan revealed a partial aplasia of the anterior and posterior arches of the C1 vertebra resulting in a split atlas. MRI showed an intramedullary high-signal area. We performed a posterior decompressive laminectomy and occipitocervical fusion. The bony defect into the posterior arch was replaced by a connective tissue cord, resulting in a compression of the dural sheath. The symptoms recovered completely 1 month after surgery. Knowledge of this rare malformation is crucial to the correct management of these cases. |
| first_indexed | 2024-12-14T17:59:14Z |
| format | Article |
| id | doaj.art-1dbaea2bd9d940089005d835c3e433a2 |
| institution | Directory Open Access Journal |
| issn | 2296-9373 |
| language | English |
| last_indexed | 2024-12-14T17:59:14Z |
| publishDate | 2021-06-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Orthopedic Research |
| spelling | doaj.art-1dbaea2bd9d940089005d835c3e433a22022-12-21T22:52:28ZengKarger PublishersCase Reports in Orthopedic Research2296-93732021-06-014212113010.1159/000516770516770Cervical Myelopathy Caused by a Split Atlas Anomaly: A Case ReportMehdi Meddeb0https://orcid.org/0000-0002-1253-5163Hassen Makhlouf1Sofiene Bouali2Khalil Habboubi3https://orcid.org/0000-0003-4408-1933Mondher Mestiri4Department of Adult Orthopedic Surgery, KASSAB’s Orthopedic Institute, Ksar Saïd, TunisiaDepartment of Adult Orthopedic Surgery, KASSAB’s Orthopedic Institute, Ksar Saïd, TunisiaTunis Faculty of Medicine, University of Tunis El Manar, Tunis, TunisiaDepartment of Adult Orthopedic Surgery, KASSAB’s Orthopedic Institute, Ksar Saïd, TunisiaDepartment of Adult Orthopedic Surgery, KASSAB’s Orthopedic Institute, Ksar Saïd, TunisiaAn 18-year-old male presented with a 6-month history of paresthesia of both arms and legs after a minor neck trauma. CT scan revealed a partial aplasia of the anterior and posterior arches of the C1 vertebra resulting in a split atlas. MRI showed an intramedullary high-signal area. We performed a posterior decompressive laminectomy and occipitocervical fusion. The bony defect into the posterior arch was replaced by a connective tissue cord, resulting in a compression of the dural sheath. The symptoms recovered completely 1 month after surgery. Knowledge of this rare malformation is crucial to the correct management of these cases.https://www.karger.com/Article/FullText/516770case reportspinesplit atlascongenital defectmyelopathy |
| spellingShingle | Mehdi Meddeb Hassen Makhlouf Sofiene Bouali Khalil Habboubi Mondher Mestiri Cervical Myelopathy Caused by a Split Atlas Anomaly: A Case Report Case Reports in Orthopedic Research case report spine split atlas congenital defect myelopathy |
| title | Cervical Myelopathy Caused by a Split Atlas Anomaly: A Case Report |
| title_full | Cervical Myelopathy Caused by a Split Atlas Anomaly: A Case Report |
| title_fullStr | Cervical Myelopathy Caused by a Split Atlas Anomaly: A Case Report |
| title_full_unstemmed | Cervical Myelopathy Caused by a Split Atlas Anomaly: A Case Report |
| title_short | Cervical Myelopathy Caused by a Split Atlas Anomaly: A Case Report |
| title_sort | cervical myelopathy caused by a split atlas anomaly a case report |
| topic | case report spine split atlas congenital defect myelopathy |
| url | https://www.karger.com/Article/FullText/516770 |
| work_keys_str_mv | AT mehdimeddeb cervicalmyelopathycausedbyasplitatlasanomalyacasereport AT hassenmakhlouf cervicalmyelopathycausedbyasplitatlasanomalyacasereport AT sofienebouali cervicalmyelopathycausedbyasplitatlasanomalyacasereport AT khalilhabboubi cervicalmyelopathycausedbyasplitatlasanomalyacasereport AT mondhermestiri cervicalmyelopathycausedbyasplitatlasanomalyacasereport |