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Traumatic Atlantoaxial Rotatory Subluxation in Adult: Case Report
Alcântara, Rafaela Campos; Souza, Jacks Alan Tenório de; Joaquim, Andrei Fernandes.
  • Alcântara, Rafaela Campos; Universidade Federal de Alagoas. Arapiraca. BR
  • Souza, Jacks Alan Tenório de; Hospital de Emergência Dr. Daniel Houly. Arapiraca. BR
  • Joaquim, Andrei Fernandes; Universidade de Campinas. Campinas. BR
Arq. bras. neurocir ; 40(1): 101-106, 29/06/2021.
Artículo en Inglés | LILACS | ID: biblio-1362259
ABSTRACT
Traumatic atlantoaxial rotatory subluxation (AARS) is generally found in pediatric patients, rarely found in adults, being a life-threatening condition especially when early diagnosis is not possible, which can lead to severe late neurological deficits.We describe a 38-year-old patient, victim of physical aggression caused by strangulation attempt who developed AARS, an uncommontraumatic cause. During the hospital care, the early diagnosis allowed us to institute a conservative treatment, which made the case uncommon, since most of the time surgical treatment is imperative. With the patient awake and under analgesia, a closed reduction was performed that promoted immediate pain relief, followed by a prescription of wearing a Philadelphia-type collar for 8 weeks. During the follow-up, cervical spine radiographies demonstrated no subluxation after removing the cervical collar. The patient was asymptomatic after 6months of treatment. This case supports the importance of nonoperative management of AARS in selected cases.
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Texto completo: Disponible Índice: LILACS (Américas) Asunto principal: Articulación Atlantoaxoidea / Vértebras Cervicales / Luxaciones Articulares Tipo de estudio: Estudio de tamizaje Límite: Adulto / Femenino / Humanos Idioma: Inglés Revista: Arq. bras. neurocir Asunto de la revista: Cirurgia / Neurocirugía Año: 2021 Tipo del documento: Artículo País de afiliación: Brasil Institución/País de afiliación: Hospital de Emergência Dr. Daniel Houly/BR / Universidade Federal de Alagoas/BR / Universidade de Campinas/BR

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Texto completo: Disponible Índice: LILACS (Américas) Asunto principal: Articulación Atlantoaxoidea / Vértebras Cervicales / Luxaciones Articulares Tipo de estudio: Estudio de tamizaje Límite: Adulto / Femenino / Humanos Idioma: Inglés Revista: Arq. bras. neurocir Asunto de la revista: Cirurgia / Neurocirugía Año: 2021 Tipo del documento: Artículo País de afiliación: Brasil Institución/País de afiliación: Hospital de Emergência Dr. Daniel Houly/BR / Universidade Federal de Alagoas/BR / Universidade de Campinas/BR