Bilateral occipito-condylar hyperplasia: a very rare anomaly treated with endoscopic endo-nasal approach.
BACKGROUND
Occipito-condylar hyperplasia is a very rare anomaly of the cranio-vertebral junction that was only reported in two patients before and managed through posterior approach.


METHODS
A 10-year-old girl with a sudden attack of quadriparesis and respiratory distress was admitted to our center. A detailed work up favored a high cervical myelopathy due to bilateral occipito-condylar hyperplasia and Chiari malformation.


RESULTS
An endoscopic endo-nasal approach under navigation guide was used to drill the compressive lesion.


CONCLUSIONS
Our patient is added to the literature as the third one that was approached through a different surgical corridor. Successful decompression with excellent results was gained.
Brain and Spinal Cord Injuries Repair Research Center (BASIR), Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran, ktayebi@gmail.com.
Keyvan
K
Tayebi Meybodi
Farzad
F
Tajik
Seyed Mousa
SM
Sadrhosseini
Farideh
F
Nejat
Mehdi
M
Zeinalizadeh
D002574:Cervical Vertebrae / Q000601:surgery; D002648:Child; D004724:Endoscopy / Q000379:methods*; D005260:Female; D006801:Humans; D006965:Hyperplasia; D008279:Magnetic Resonance Imaging; D009666:Nose / Q000601:surgery*; D009778:Occipital Lobe / Q000601:surgery*; D009809:Odontoid Process / Q000473:pathology* / Q000601:surgery*; D014057:Tomography, X-Ray Computed