Departments of Neurosurgery, Centre Hospitalier Universitaire Gui deChauliac Hospital, Montpellier, France.
J Neurosurg Spine. 2012 Jan;16(1):27-30. doi: 10.3171/2011.9.SPINE11443. Epub 2011 Oct 7.
The authors describe the case of a 29-year-old man presenting with left retrooccipital and cervical pain associated with left ear fullness and rhythmic tinnitus. Head rotation movements on the right side and the Valsalva maneuver increased symptoms. A CT scan identified hyperpneumatization of the left temporal bone extending to the occipital bone as well as pneumarthrosis of the atlantoaxial joint. Surgical treatment involving obliteration of the fistula with bone and fat grafts via a computer-aided transmastoid approach was proposed. The surgery resolved all of the patient's symptoms except for the ear fullness. In this case the authors described an original treatment for spontaneous atlantoaxial pneumarthrosis. Long-term follow-up is needed to evaluate the risk of the recurrence of abnormal occipital bone pneumatization and to assess joint function.
作者描述了一例 29 岁男性病例，其表现为左侧枕后和颈部疼痛，伴有左侧耳部饱满感和有节奏的耳鸣。右侧头部旋转运动和瓦尔萨尔瓦动作（valsalva maneuver）增加了症状。CT 扫描显示左侧颞骨过度气化，延伸至枕骨，寰枢关节气腔形成。提出了一种通过计算机辅助经乳突入路用骨和脂肪移植物闭塞瘘管的手术治疗方法。手术解决了患者除耳部饱满感之外的所有症状。在这种情况下，作者描述了一种治疗自发性寰枢关节气腔形成的原创方法。需要进行长期随访，以评估异常枕骨过度气化和关节功能再发的风险。
