Unilateral atlantal facetal hypertrophy.
A 17-year-old male presented with progressive spastic quadriparesis and torticollis over four years. Investigations revealed unilateral enlargement of the facet of the atlas. Surgical resection of the indenting part of the facet resulted in an immediate and lasting relief from the presenting symptoms.
Goel
Atul
A
Department of Neurosurgery, Seth G.S. Medical College and K.E.M. Hospital, Acharya Donde Marg, Parel, Mumbai 400012, India. atulgoel62@hotmail.com
Shah
Abhidha
A
D000293:Adolescent; D001268:Atlanto-Axial Joint / Q000473:pathology* / Q000601:surgery; D006801:Humans; D006984:Hypertrophy; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D013118:Spinal Cord Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D014057:Tomography, X-Ray Computed / Q000379:methods; D014103:Torticollis