[Atlanto-occipital luxation and syringomyelia: 2 rare complications of cervical injury. Diagnostic and therapeutic effects. Apropos of a case].
The authors report the case of a 19 years old patient with an undiagnosed traumatic atlanto-occipital dislocation complicated after two years by a rapidly evolutive syringomyelia. This clinical case which associates two rare complications of cervical traumatology allows to discuss the problems of both pathologies especially on the following points: --The early diagnosis of the dislocation by tomography and CT scan is the only mean to treat totally these lesions and perhaps to avoid the complications like syringomyelia. --In case of delayed diagnosis, when the dislocation is "fixed" the complete decompressive surgery both by a posterior and a trans-oral way is for the authors the treatment of choice.
Colnet
G
G
Service de Neuro-traumatologie, Hôtel Dieu, Clermont-Ferrand.
Chabannes
J
J
Commun
C
C
Rigal
M C
MC
Alassaf
M
M
D000328:Adult; D001269:Atlanto-Occipital Joint / Q000293:injuries*; D006801:Humans; D004204:Joint Dislocations / Q000175:diagnosis / Q000209:etiology*; D008297:Male; D019838:Neck Injuries; D013595:Syringomyelia / Q000175:diagnosis / Q000209:etiology*
Luxation occipito-atloïdienne et syringomyélie: deux complications rares de la traumatologie cervicale. Incidences diagnostiques et thérapeutiques. A propos d'un cas.