2016
DOI: 10.1177/0333102416665227
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Surgical treatment for an uncommon headache: A gap of 4800 years

Abstract: Background Surgical management of headache due to anomalies in the cervical spine is uncommon, as most cases improve with drugs and/or physical therapy. Case We report two instances of a very uncommon congenital upper cervical spine anomaly due to the presence of a pseudoarthrosis between a unilateral paracondylar process in the base of the skull and an epitransverse process arising from the transverse apophysis (PCP/ETA). The first one corresponds to a male on whom an endoscopic guided puncture was performed,… Show more

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Cited by 2 publications
(2 citation statements)
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“…If the process detaches and assimilates to the C1 transverse process instead, an epitransverse process is formed [3]. Our patient has an unusual variation where both paracondylar and epitransverse processes coexist [4]. In addition, to our knowledge, a multi-segmented appearance of two separate pseudo-articulations with the occipital bone and C1 transverse process has not been previously reported.…”
Section: Answer: Paracondylar Process-epitransverse Process Complexmentioning
confidence: 59%
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“…If the process detaches and assimilates to the C1 transverse process instead, an epitransverse process is formed [3]. Our patient has an unusual variation where both paracondylar and epitransverse processes coexist [4]. In addition, to our knowledge, a multi-segmented appearance of two separate pseudo-articulations with the occipital bone and C1 transverse process has not been previously reported.…”
Section: Answer: Paracondylar Process-epitransverse Process Complexmentioning
confidence: 59%
“…It may also present as an osseous lump (as in our patient) [2] or more frequently as an incidental imaging finding [10]. Compression of the adjacent vertebral artery and C1 nerve root may hypothetically lead to symptoms, but this has not been documented in previous case reports [2,4].…”
Section: Answer: Paracondylar Process-epitransverse Process Complexmentioning
confidence: 60%