Unusual cause of high cervical myelopathy-C1 arch stenosis
Introduction: High cervical myelopathy can be rarely caused by the developmental anomalies of atlas. Patients with C1 arch stenosis can present in early childhood or later in life. In symptomatic patients, posterior decompression at atlas is mandatory. We report the first clinical series of 20 patie...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2018-01-01
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| Series: | Journal of Craniovertebral Junction and Spine |
| Subjects: | |
| Online Access: | http://www.jcvjs.com/article.asp?issn=0974-8237;year=2018;volume=9;issue=1;spage=37;epage=43;aulast=Nehete |
| _version_ | 1811269646058258432 |
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| author | Lokesh S Nehete Dhananjay I Bhat M S Gopalakrishnan Dhaval Shukla Subhas Konar Prashant Singh Bhagavatula Indira Devi |
| author_facet | Lokesh S Nehete Dhananjay I Bhat M S Gopalakrishnan Dhaval Shukla Subhas Konar Prashant Singh Bhagavatula Indira Devi |
| author_sort | Lokesh S Nehete |
| collection | DOAJ |
| description | Introduction: High cervical myelopathy can be rarely caused by the developmental anomalies of atlas. Patients with C1 arch stenosis can present in early childhood or later in life. In symptomatic patients, posterior decompression at atlas is mandatory. We report the first clinical series of 20 patients of C1 arch stenosis in the English literature.
Materials and Methods: This is retrospective case series having a cohort of 20 patients with congenital C1 arch stenosis.
Results: There were 12 pediatric (age <18 years) and 8 adult patients. Mean age was 22.85 years. Syndromic association was seen in four patients. Following decompressive surgery, these patients noticed a symptomatic improvement.
Conclusions: Isolated C1 arch stenosis is a surgically curable rare cause of high cervical myelopathy and responds well to surgery. |
| first_indexed | 2024-04-12T21:45:50Z |
| format | Article |
| id | doaj.art-bafaf51caa9b4614b2a6da2016446116 |
| institution | Directory Open Access Journal |
| issn | 0974-8237 |
| language | English |
| last_indexed | 2024-04-12T21:45:50Z |
| publishDate | 2018-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Craniovertebral Junction and Spine |
| spelling | doaj.art-bafaf51caa9b4614b2a6da20164461162022-12-22T03:15:38ZengWolters Kluwer Medknow PublicationsJournal of Craniovertebral Junction and Spine0974-82372018-01-0191374310.4103/jcvjs.JCVJS_134_17Unusual cause of high cervical myelopathy-C1 arch stenosisLokesh S NeheteDhananjay I BhatM S GopalakrishnanDhaval ShuklaSubhas KonarPrashant SinghBhagavatula Indira DeviIntroduction: High cervical myelopathy can be rarely caused by the developmental anomalies of atlas. Patients with C1 arch stenosis can present in early childhood or later in life. In symptomatic patients, posterior decompression at atlas is mandatory. We report the first clinical series of 20 patients of C1 arch stenosis in the English literature. Materials and Methods: This is retrospective case series having a cohort of 20 patients with congenital C1 arch stenosis. Results: There were 12 pediatric (age <18 years) and 8 adult patients. Mean age was 22.85 years. Syndromic association was seen in four patients. Following decompressive surgery, these patients noticed a symptomatic improvement. Conclusions: Isolated C1 arch stenosis is a surgically curable rare cause of high cervical myelopathy and responds well to surgery.http://www.jcvjs.com/article.asp?issn=0974-8237;year=2018;volume=9;issue=1;spage=37;epage=43;aulast=NeheteAnomalies of atlasbifid posterior archC1 arch stenosishigh cervical myelopathyMorquio's syndrome |
| spellingShingle | Lokesh S Nehete Dhananjay I Bhat M S Gopalakrishnan Dhaval Shukla Subhas Konar Prashant Singh Bhagavatula Indira Devi Unusual cause of high cervical myelopathy-C1 arch stenosis Journal of Craniovertebral Junction and Spine Anomalies of atlas bifid posterior arch C1 arch stenosis high cervical myelopathy Morquio's syndrome |
| title | Unusual cause of high cervical myelopathy-C1 arch stenosis |
| title_full | Unusual cause of high cervical myelopathy-C1 arch stenosis |
| title_fullStr | Unusual cause of high cervical myelopathy-C1 arch stenosis |
| title_full_unstemmed | Unusual cause of high cervical myelopathy-C1 arch stenosis |
| title_short | Unusual cause of high cervical myelopathy-C1 arch stenosis |
| title_sort | unusual cause of high cervical myelopathy c1 arch stenosis |
| topic | Anomalies of atlas bifid posterior arch C1 arch stenosis high cervical myelopathy Morquio's syndrome |
| url | http://www.jcvjs.com/article.asp?issn=0974-8237;year=2018;volume=9;issue=1;spage=37;epage=43;aulast=Nehete |
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