不稳定的齿突导致颈椎脊髓病和阻塞性睡眠呼吸暂停。
Unstable os odontoideum contributing to cervical myelopathy and obstructive sleep apnea.
作者信息
Rahimizadeh Abolfazl, Malekmohammadi Zahed, Karimi Mona, Rahimizadeh Ava, Asgari Naser
机构信息
Pars Advanced and Minimally Invasive Medical Manners Research Center, Pars Hospital, Iran University of Medical Sciences, Tehran, Iran.
出版信息
Surg Neurol Int. 2019 Jun 28;10:125. doi: 10.25259/SNI-308-2019. eCollection 2019.
BACKGROUND
Sleep apnea is characterized by repetitive cessation of breathing during sleep. It may be attributed to obstructive, central, or mixed pathologies close to the upper airway resulting in a decreased diameter of the oropharyngeal tract.
CASE DESCRIPTION
A 36-year-old male with progressive cervicomedullary myelopathy/quadriparesis exhibited obstructive sleep apnea (OSA) attributed to an anteriorly displaced os odontoideum (OO). Atlantoaxial screw-rod stabilization resulted in improvement of both neurological function and OSA.
CONCLUSION
A symptomatic unstable OO may contribute to suboccipital pain, progressive quadriparesis, vertebrobasilar insufficiency, and OSA. Appropriate operative intervention utilizing atlantoaxial screw-rod stabilization may help to resolve these deficits.
背景
睡眠呼吸暂停的特征是睡眠期间呼吸反复停止。它可能归因于上气道附近的阻塞性、中枢性或混合性病变，导致口咽道直径减小。
病例描述
一名患有进行性颈髓性脊髓病/四肢瘫的36岁男性表现出阻塞性睡眠呼吸暂停（OSA），其原因是齿状突（OO）向前移位。寰枢椎螺钉-棒固定术使神经功能和OSA均得到改善。
结论
有症状的不稳定OO可能导致枕下疼痛、进行性四肢瘫、椎基底动脉供血不足和OSA。采用寰枢椎螺钉-棒固定术进行适当的手术干预可能有助于解决这些缺陷。
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