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Bilateral Accessory C1 and C2 Facet Joints; Clinical, Neuroradiological and Peroperative Findings in an Adult with Quadriparesis
Chowdhury, Forhad H; Raziul Haque, Mohammod; Hakim, Maliha; Shamsul Arifin, Mohammod; Ariful Islam, Soyed.
  • Chowdhury, Forhad H; Department of Neurosurgery, National Institute of Neurosciences and Hospital. Dhaka. BD
  • Raziul Haque, Mohammod; Department of Neurosurgery, Bangladesh Specialezed Hospital. Dhaka. BD
  • Hakim, Maliha; Department of Neurology, National Institute of Neurosciences and Hospital. Bhaka. BD
  • Shamsul Arifin, Mohammod; Department of Neurosurgery, Bangladesh Specialezed Hospital. Dhaka. BD
  • Ariful Islam, Soyed; Department of Neurosurgery, Bangladesh Specialezed Hospital. Dhaka. BD
Arq. bras. neurocir ; 38(4): 328-335, 15/12/2019.
Article Dans Anglais | LILACS | ID: biblio-1362502
ABSTRACT
Objectives Accessory C1 and C2 facet joints are very rare. Only few cases were reported in the literature.We report a case of bilateral accessory facets in an adult with special attention to clinical, neuroradiological, as well as peroperative findings. Case report A 37-year-old male presented with progressive quadriparesis. Radiology revealed bilateral posterior accessory C1 and C2 facet joints compressing the spinal cord with craniovertebral junction (CVJ) instability. Both accessory C1 and C2 facets with the posterior arch of the C1 were removed. Lateral mass screws and plates fixation at the C1 and C2 level, as well as fusion, were performed. Postoperatively, the patient recovered well. Conclusion In accessory C1 and C2 facet joints, when symptomatic, neuroradiological findings can guide to the proper diagnosis, to pathological understanding, and, ultimately, to management strategy.
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Texte intégral: Disponible Indice: LILAS (Amériques) Sujet Principal: Tétraplégie / Syndrome de compression médullaire / Vertèbres cervicales / Articulation zygapophysaire Type d'étude: Etude diagnostique Limites du sujet: Adulte / Humains / Mâle langue: Anglais Texte intégral: Arq. bras. neurocir Thème du journal: Cirurgia / Neurochirurgie Année: 2019 Type: Article Pays d'affiliation: Bangladesh Institution/Pays d'affiliation: Department of Neurology, National Institute of Neurosciences and Hospital/BD / Department of Neurosurgery, Bangladesh Specialezed Hospital/BD / Department of Neurosurgery, National Institute of Neurosciences and Hospital/BD

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Texte intégral: Disponible Indice: LILAS (Amériques) Sujet Principal: Tétraplégie / Syndrome de compression médullaire / Vertèbres cervicales / Articulation zygapophysaire Type d'étude: Etude diagnostique Limites du sujet: Adulte / Humains / Mâle langue: Anglais Texte intégral: Arq. bras. neurocir Thème du journal: Cirurgia / Neurochirurgie Année: 2019 Type: Article Pays d'affiliation: Bangladesh Institution/Pays d'affiliation: Department of Neurology, National Institute of Neurosciences and Hospital/BD / Department of Neurosurgery, Bangladesh Specialezed Hospital/BD / Department of Neurosurgery, National Institute of Neurosciences and Hospital/BD