Acute abducens nerve palsy from a complex retro-odontoid pseudotumor with a protrusion: A case report
Retro-ondontoid pseudotumors represent soft tissue proliferation surrounding the transverse ligament of the atlas, which most commonly results in cervical neck pain or myelopathy due to impingement upon the cervicomedullary junction. The causes of retro-odontoid pseudotumor formation are varied and...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-01-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S193004332300763X |
| _version_ | 1797454685592879104 |
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| author | Justin Sardi, MD Alexander Chavez-Yenter, MD Linda C. Wendell, MD J. Pierre Sasson, MD Monica J. Wood, MD |
| author_facet | Justin Sardi, MD Alexander Chavez-Yenter, MD Linda C. Wendell, MD J. Pierre Sasson, MD Monica J. Wood, MD |
| author_sort | Justin Sardi, MD |
| collection | DOAJ |
| description | Retro-ondontoid pseudotumors represent soft tissue proliferation surrounding the transverse ligament of the atlas, which most commonly results in cervical neck pain or myelopathy due to impingement upon the cervicomedullary junction. The causes of retro-odontoid pseudotumor formation are varied and include metabolic, inflammatory, degenerative, and post-traumatic etiologies. To the best of our knowledge, an abducens nerve palsy as a result of a complex retro-odontoid pseudotumor has never been reported. We discuss a case of a 90-year-old woman who presents with acute lateral gaze palsy with multimodality imaging demonstrating a retro-odontoid pseudotumor with an unusual protrusion which courses superolaterally to the level of the pons and compresses the abducens nerve root entry zone. |
| first_indexed | 2024-03-09T15:40:41Z |
| format | Article |
| id | doaj.art-3db81285326b4540b9112fa317b7877b |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-03-09T15:40:41Z |
| publishDate | 2024-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-3db81285326b4540b9112fa317b7877b2023-11-25T04:47:31ZengElsevierRadiology Case Reports1930-04332024-01-01191326329Acute abducens nerve palsy from a complex retro-odontoid pseudotumor with a protrusion: A case reportJustin Sardi, MD0Alexander Chavez-Yenter, MD1Linda C. Wendell, MD2J. Pierre Sasson, MD3Monica J. Wood, MD4Department of Radiology, Mount Auburn Hospital, Harvard Medical School, Cambridge, MA, USA; Corresponding author.Department of Radiology, MedStar Georgetown University Hospital, Washington, DC, USADivision of Neurology, Mount Auburn Hospital, Harvard Medical School, Cambridge, MA, USADepartment of Radiology, Mount Auburn Hospital, Harvard Medical School, Cambridge, MA, USADepartment of Radiology, Mount Auburn Hospital, Harvard Medical School, Cambridge, MA, USARetro-ondontoid pseudotumors represent soft tissue proliferation surrounding the transverse ligament of the atlas, which most commonly results in cervical neck pain or myelopathy due to impingement upon the cervicomedullary junction. The causes of retro-odontoid pseudotumor formation are varied and include metabolic, inflammatory, degenerative, and post-traumatic etiologies. To the best of our knowledge, an abducens nerve palsy as a result of a complex retro-odontoid pseudotumor has never been reported. We discuss a case of a 90-year-old woman who presents with acute lateral gaze palsy with multimodality imaging demonstrating a retro-odontoid pseudotumor with an unusual protrusion which courses superolaterally to the level of the pons and compresses the abducens nerve root entry zone.http://www.sciencedirect.com/science/article/pii/S193004332300763XRetro-odontoid pseudotumorAbducens nerve palsyLateral gaze palsyAtlantoaxialOdontoid |
| spellingShingle | Justin Sardi, MD Alexander Chavez-Yenter, MD Linda C. Wendell, MD J. Pierre Sasson, MD Monica J. Wood, MD Acute abducens nerve palsy from a complex retro-odontoid pseudotumor with a protrusion: A case report Radiology Case Reports Retro-odontoid pseudotumor Abducens nerve palsy Lateral gaze palsy Atlantoaxial Odontoid |
| title | Acute abducens nerve palsy from a complex retro-odontoid pseudotumor with a protrusion: A case report |
| title_full | Acute abducens nerve palsy from a complex retro-odontoid pseudotumor with a protrusion: A case report |
| title_fullStr | Acute abducens nerve palsy from a complex retro-odontoid pseudotumor with a protrusion: A case report |
| title_full_unstemmed | Acute abducens nerve palsy from a complex retro-odontoid pseudotumor with a protrusion: A case report |
| title_short | Acute abducens nerve palsy from a complex retro-odontoid pseudotumor with a protrusion: A case report |
| title_sort | acute abducens nerve palsy from a complex retro odontoid pseudotumor with a protrusion a case report |
| topic | Retro-odontoid pseudotumor Abducens nerve palsy Lateral gaze palsy Atlantoaxial Odontoid |
| url | http://www.sciencedirect.com/science/article/pii/S193004332300763X |
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