Association of Atlanto-Occipital Dislocation, Retroclival Hematoma, and Hydrocephalus: Management and Survival in a Pediatric Patient
Atlanto-occipital dislocation (AOD) is an injury with high morbidity and mortality. We present a case of survival of a pediatric patient with the diagnoses of AOD, retroclival hematoma, and resulting hydrocephalus. The patient's cervical spine was stabilized until occipital-cervical fusion prov...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Georg Thieme Verlag KG
2017-01-01
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| Series: | Journal of Neurological Surgery Reports |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0037-1600914 |
| _version_ | 1811318705617895424 |
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| author | Isaac L. Lee Luis F. Vasquez Alan H. Tyroch Todd T. Trier |
| author_facet | Isaac L. Lee Luis F. Vasquez Alan H. Tyroch Todd T. Trier |
| author_sort | Isaac L. Lee |
| collection | DOAJ |
| description | Atlanto-occipital dislocation (AOD) is an injury with high morbidity and mortality. We present a case of survival of a pediatric patient with the diagnoses of AOD, retroclival hematoma, and resulting hydrocephalus. The patient's cervical spine was stabilized until occipital-cervical fusion provided definitive treatment, and the hydrocephalus was treated with a ventriculostomy. The patient survived with no neurological deficits. A better understanding and awareness of the radiologic criteria of AOD will lead to earlier recognition of AOD and improved outcomes, even in the presence of complications from AOD. Surgical fixation should be used for definitive treatment of injuries with AOD. |
| first_indexed | 2024-04-13T12:29:19Z |
| format | Article |
| id | doaj.art-d9e11c5077b54e538671668eacd6aeb3 |
| institution | Directory Open Access Journal |
| issn | 2193-6358 2193-6366 |
| language | English |
| last_indexed | 2024-04-13T12:29:19Z |
| publishDate | 2017-01-01 |
| publisher | Georg Thieme Verlag KG |
| record_format | Article |
| series | Journal of Neurological Surgery Reports |
| spelling | doaj.art-d9e11c5077b54e538671668eacd6aeb32022-12-22T02:46:54ZengGeorg Thieme Verlag KGJournal of Neurological Surgery Reports2193-63582193-63662017-01-017801e46e5110.1055/s-0037-1600914Association of Atlanto-Occipital Dislocation, Retroclival Hematoma, and Hydrocephalus: Management and Survival in a Pediatric PatientIsaac L. Lee0Luis F. Vasquez1Alan H. Tyroch2Todd T. Trier3Department of Surgery, Texas Tech University Health Sciences Center El Paso, El Paso, Texas, United StatesDepartment of Neurosurgery, University Medical Center El Paso, El Paso, Texas, United StatesDepartment of Surgery, Texas Tech University Health Sciences Center El Paso, El Paso, Texas, United StatesDepartment of Neurosurgery, University Medical Center El Paso, El Paso, Texas, United StatesAtlanto-occipital dislocation (AOD) is an injury with high morbidity and mortality. We present a case of survival of a pediatric patient with the diagnoses of AOD, retroclival hematoma, and resulting hydrocephalus. The patient's cervical spine was stabilized until occipital-cervical fusion provided definitive treatment, and the hydrocephalus was treated with a ventriculostomy. The patient survived with no neurological deficits. A better understanding and awareness of the radiologic criteria of AOD will lead to earlier recognition of AOD and improved outcomes, even in the presence of complications from AOD. Surgical fixation should be used for definitive treatment of injuries with AOD.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0037-1600914atlanto-occipital dislocationretroclival hematomahydrocephaluspediatric trauma |
| spellingShingle | Isaac L. Lee Luis F. Vasquez Alan H. Tyroch Todd T. Trier Association of Atlanto-Occipital Dislocation, Retroclival Hematoma, and Hydrocephalus: Management and Survival in a Pediatric Patient Journal of Neurological Surgery Reports atlanto-occipital dislocation retroclival hematoma hydrocephalus pediatric trauma |
| title | Association of Atlanto-Occipital Dislocation, Retroclival Hematoma, and Hydrocephalus: Management and Survival in a Pediatric Patient |
| title_full | Association of Atlanto-Occipital Dislocation, Retroclival Hematoma, and Hydrocephalus: Management and Survival in a Pediatric Patient |
| title_fullStr | Association of Atlanto-Occipital Dislocation, Retroclival Hematoma, and Hydrocephalus: Management and Survival in a Pediatric Patient |
| title_full_unstemmed | Association of Atlanto-Occipital Dislocation, Retroclival Hematoma, and Hydrocephalus: Management and Survival in a Pediatric Patient |
| title_short | Association of Atlanto-Occipital Dislocation, Retroclival Hematoma, and Hydrocephalus: Management and Survival in a Pediatric Patient |
| title_sort | association of atlanto occipital dislocation retroclival hematoma and hydrocephalus management and survival in a pediatric patient |
| topic | atlanto-occipital dislocation retroclival hematoma hydrocephalus pediatric trauma |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0037-1600914 |
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