May D, Jenny B, Faundez A
Department of Neurosurgery, H pital Cantonal Universitaire, Geneva, Switzerland.
J Neurosurg. 2001 Jan;94(1 Suppl):133-6. doi: 10.3171/spi.2001.94.1.0133.
The authors report the case of a 66-year-old man with progressive, nontraumatic, C-1 cord compression who presented with a complete but hypoplastic atlas. They review six cases found in the literature. Symptoms usually develop in the late adulthood; the sagittal diameter of the canal measures 10 mm or less. The treatment requires a posterior decompression. Opening of the dura is sometimes necessary. There is no pressing need for a primary stabilization device.
作者报告了一例66岁男性患者,患有进行性、非创伤性C1脊髓压迫症,其寰椎完整但发育不全。他们回顾了文献中发现的6例病例。症状通常在成年后期出现;椎管矢状径测量为10毫米或更小。治疗需要进行后路减压。有时需要打开硬脑膜。对于原发性稳定装置没有迫切需求。