Sato Kazufumi, Kubota Toshihiko, Takeuchi Hiroaki, Handa Yuji
Division of Neurosurgery, Department of Sensory & Locomotor Medicine, Faculty of Medical Science, University of Fukui, Japan.
Neurol Med Chir (Tokyo). 2006 Apr;46(4):202-5. doi: 10.2176/nmc.46.202.
A 38-year-old man presented with progressive cervical myelopathy due to atlas hypoplasia associated with non-traumatic retro-odontoid mass. The neuroimaging findings suggested hypertrophy of the transverse ligament of the atlas. No histological confirmation of the retro-odontoid mass was obtained. Clinical manifestations improved after posterior decompression. Decompressive laminectomy of the atlas with or without fusion can achieve a good outcome in such cases.
一名38岁男性因寰椎发育不全合并非创伤性齿突后肿物出现进行性颈髓病。神经影像学检查结果提示寰椎横韧带肥大。未获得齿突后肿物的组织学确诊。后路减压后临床表现改善。在这类病例中,行或不行融合的寰椎减压椎板切除术均可取得良好疗效。