先天性髁突旁突所致斜颈的手术治疗：病例报告
Surgical treatment of torticollis secondary to the presence of a congenital paracondylar process: illustrative case.
作者信息
Hey Grace, De Toledo Otavio, Gutierrez-Aguirre Salvador, Andreoli Steven, Patel Pushpak, Tamasi Alyssa, Hatem Asmaa, Aldana Philipp
机构信息
University of Florida College of Medicine, Gainesville, Florida.
Lyerly Neurosurgery, Baptist Neurological Institute, Jacksonville, Florida.
出版信息
J Neurosurg Case Lessons. 2024 Jul 8;8(2). doi: 10.3171/CASE2447.
BACKGROUND
A paracondylar process is an abnormal bony exostosis arising from the skull base lateral to the occipital condyle and extending inferiorly toward the transverse process of the atlas. Paracondylar processes are typically identified incidentally and vary in size from a small protuberance to an elongated process.
OBSERVATIONS
The authors present the first pediatric case of torticollis secondary to a congenital paracondylar process successfully treated with resection of the paracondylar process and sternocleidomastoid release.
LESSONS
Cadaveric dissection, three-dimensional models, intraoperative imaging guidance, and multidisciplinary collaboration were paramount to a successful surgical outcome. https://thejns.org/doi/10.3171/CASE2447.
背景
髁旁突是一种异常的骨外生骨疣，起源于枕髁外侧的颅底，向下延伸至寰椎横突。髁旁突通常是偶然发现的，大小不一，从一个小突起到一个细长的突起。
观察结果
作者报告了第一例因先天性髁旁突继发斜颈的儿科病例，该病例通过切除髁旁突和松解胸锁乳突肌成功治疗。
经验教训
尸体解剖、三维模型、术中影像引导和多学科协作对于手术成功至关重要。https://thejns.org/doi/10.3171/CASE2447 。
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