Atrophies Du Vermis Cérébelleux

Thiébaut, F; Wackenheim, A; Vrousos, C; Subirana, M

doi:10.1177/02841851660050p210

Cited by 4 publications

(3 citation statements)

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“…The majority of group B disease patients had the odontoid process tip below Wackenheim's clivus line and McRae's foramen magnum line [8,9]. In the above case, however, the odontoid process was discovered to be 7.5 mm above both McRae's line and Wackenheim's clivus line, as shown earlier.…”

Section: Discussionsupporting

confidence: 61%

Basilar Invagination With Chiari Type I Malformation and Atlanto-Axial Instability: A Rare Case Report

Sanjay,

Y.S,

Yadav

et al. 2023

Cureus

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Basilar invagination (BI) and Chiari malformation type I (CM-I) are important anomalies involving the craniovertebral junction (CVJ) involving the skull base and occipitocervical region. The incidence of BI is rare involving < 1% of the general population worldwide. They present with varied and complex clinical-radiological features. We present a 36-year-old male who displayed complaints of persistent reeling sensation at our center. Clinical examination revealed bilateral cerebellar signs along with nystagmus and restricted neck movements. Imaging revealed evidence of BI with cerebellar tonsil herniation of ~ 14.7 mm. Atlantodens interval of 6 mm was noted. The unexpected findings of C1-C2 fusion and instability were also noted. We describe a rare case of BI with C1 prolapse into the foramen magnum along with CM-1 malformation and congenital fusion of C1-C2. We conclude that the treatment algorithm for these rare cases is not very well established and is individually dependent.

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Section: Discussionsupporting

confidence: 61%

Basilar Invagination With Chiari Type I Malformation and Atlanto-Axial Instability: A Rare Case Report

Sanjay,

Y.S,

Yadav

et al. 2023

Cureus

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“…Although several radiographic methods to detect TAOD have been described, such as those proposed by Power, Harris, Wholey, and Sun, 10 11 12 13 25 none have been proven adequate as a single diagnostic criterion. 18 Also, there have been reports of significant variances from the previously accepted normal values on plain radiographs compared with the CT scans for most of these methods.…”

Section: Discussionmentioning

confidence: 99%

“…12 However, this test alone has been found to have a sensitivity of 50%. 16 17 18 19 20 21 22 23 24 25 26 27…”

Section: Discussionmentioning

confidence: 99%

Traumatic Atlanto-occipital Dislocation in Children Followed by Hydrocephalus – A Case Report and Literature Review

Formentin

Santos

Maeda

et al. 2022

Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery

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Traumatic atlanto-occipital dislocation (TAOD) are uncommon injuries associated with high immediate mortality rate and occurs more than twice in children than adults, due to biomechanical properties and immaturity of children's cervical spine. We report a pediatric patient with TAOD, who underwent occipitocervical stabilization and also developed a late hydrocephalus requiring a shunt procedure. A six-year-old boy was admitted to the emergency department after a car accident with refractory cervical pain. A cervical computed tomography (CT) scan showed an anterior C1–C2 level hematoma, and a dynamic CT scan demonstrated an increasing basion-dens interval on extension. Cervical magnetic resonance imaging (MRI) showed discontinuity of the tectorial membrane and diffused hyperintense signal on the left alar ligament. These findings were attributed to TAOD, and an occipitocervical fusion was performed. The pain and neurological status improved after surgery, but after 3 months he returned with persistent vomiting, headache, and a CT scan showing hydrocephalus. Then, a ventriculoperitoneal shunt was performed, improving the symptoms. One year after the injury, the patient remained asymptomatic, and a later radiography demonstrated satisfactory bone fusion. In conclusion, the decision-making process regarding treatment should consider several clinical and radiographic findings. Occipitocervical fusion is the treatment of choice, while hydrocephalus is not an unusual complication in children.

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Tomography in cerebral pneumoencephalography

Morris

Wylie

1973

Clinical Radiology

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Atrophies Du Vermis Cérébelleux

Abstract: La nosographie des atrophies cerebelleuses est tres complexe et peu precise. Les neuro-pathologistes distinguent de nombreuses formes dont certaines n'ont que des caracteres microscopiques.

Cited by 4 publications

References 0 publications

Basilar Invagination With Chiari Type I Malformation and Atlanto-Axial Instability: A Rare Case Report

Basilar Invagination With Chiari Type I Malformation and Atlanto-Axial Instability: A Rare Case Report

Traumatic Atlanto-occipital Dislocation in Children Followed by Hydrocephalus – A Case Report and Literature Review

Tomography in cerebral pneumoencephalography

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