Hashimoto Kazuhiko, Nishimura Shunji, Shinyashiki Yu, Goto Koji
Orthopedic Surgery, Kindai University Hospital, Osakasayama, JPN.
Cureus. 2024 Jun 9;16(6):e62028. doi: 10.7759/cureus.62028. eCollection 2024 Jun.
An eight-year-old female presenting with posterior neck pain and torticollis who had been diagnosed with coronavirus disease 2019 (COVID-19) three weeks earlier was radiographed and diagnosed with atlantoaxial rotatory fixation (AARF). Following treatment with non-steroidal anti-inflammatory drugs (NSAIDs), the posterior neck pain improved, and the torticollis was cured. Symptoms returned after two weeks, and computed tomography showed a 3.94 mm atlantodental interval and axis rotation. The patient was diagnosed with AARF relapse; symptoms resolved spontaneously prior to subsequent examination, and no further relapses were observed. This case highlights the need for clinicians to be aware that AARF may develop after COVID-19. Treatment options should be carefully considered.
一名8岁女性,三周前被诊断为2019冠状病毒病(COVID-19),现出现颈后部疼痛和斜颈,接受了X线检查,被诊断为寰枢椎旋转固定(AARF)。在使用非甾体抗炎药(NSAIDs)治疗后,颈后部疼痛有所改善,斜颈也得以治愈。两周后症状复发,计算机断层扫描显示寰齿间隙为3.94毫米且枢椎旋转。该患者被诊断为AARF复发;在后续检查前症状自行缓解,且未观察到进一步复发。该病例强调临床医生需要意识到COVID-19后可能会发生AARF。应仔细考虑治疗方案。