Basilar invagination secondary to hypoplasia of the clivus - Is there indication for craniocervical fixation?

Detalhes bibliográficos
Autor(a) principal: Joaquim,Andrei Fernandes
Data de Publicação: 2014
Outros Autores: Ghizoni,Enrico, Almeida,João Paulo, Anderle,Diogo Valli, Tedeschi,Helder
Tipo de documento: Relatório
Idioma: eng
Título da fonte: Coluna/Columna
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512014000100069
Resumo: The posterior fossa decompression is a form of treatment suggested for patients with basilar invagination (BI) secondary to hypoplasia symptomatic of the clivus and atlantoaxial alignment preserved. Based on the fact that the worsening of cranial-cervical kyphosis (decrease of clivus-canal angle to less than 150o) can result in anterior brainstem compression, we propose that some patients may benefit from the cranio-cervical fixation. We present a case report of a patient with BI secondary to clivus hypoplasia who underwent cranio-cervical fixation in extension, with a reduction in clivus-canal angle and improvement of symptoms without posterior fossa decompression.
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spelling Basilar invagination secondary to hypoplasia of the clivus - Is there indication for craniocervical fixation?PlatybasiaDecompressive craniectomyCranial fossa, posteriorTreatment outcomeThe posterior fossa decompression is a form of treatment suggested for patients with basilar invagination (BI) secondary to hypoplasia symptomatic of the clivus and atlantoaxial alignment preserved. Based on the fact that the worsening of cranial-cervical kyphosis (decrease of clivus-canal angle to less than 150o) can result in anterior brainstem compression, we propose that some patients may benefit from the cranio-cervical fixation. We present a case report of a patient with BI secondary to clivus hypoplasia who underwent cranio-cervical fixation in extension, with a reduction in clivus-canal angle and improvement of symptoms without posterior fossa decompression.Sociedade Brasileira de Coluna2014-03-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512014000100069Coluna/Columna v.13 n.1 2014reponame:Coluna/Columnainstname:Sociedade Brasileira de Coluna (SBCO)instacron:SBCO10.1590/S1808-18512014130100292info:eu-repo/semantics/openAccessJoaquim,Andrei FernandesGhizoni,EnricoAlmeida,João PauloAnderle,Diogo ValliTedeschi,Heldereng2015-08-18T00:00:00Zoai:scielo:S1808-18512014000100069Revistahttps://www.revistacoluna.org/ONGhttps://old.scielo.br/oai/scielo-oai.phpcoluna.columna@uol.com.br||revistacoluna@uol.com.br2177-014X1808-1851opendoar:2015-08-18T00:00Coluna/Columna - Sociedade Brasileira de Coluna (SBCO)false
dc.title.none.fl_str_mv Basilar invagination secondary to hypoplasia of the clivus - Is there indication for craniocervical fixation?
title Basilar invagination secondary to hypoplasia of the clivus - Is there indication for craniocervical fixation?
spellingShingle Basilar invagination secondary to hypoplasia of the clivus - Is there indication for craniocervical fixation?
Joaquim,Andrei Fernandes
Platybasia
Decompressive craniectomy
Cranial fossa, posterior
Treatment outcome
title_short Basilar invagination secondary to hypoplasia of the clivus - Is there indication for craniocervical fixation?
title_full Basilar invagination secondary to hypoplasia of the clivus - Is there indication for craniocervical fixation?
title_fullStr Basilar invagination secondary to hypoplasia of the clivus - Is there indication for craniocervical fixation?
title_full_unstemmed Basilar invagination secondary to hypoplasia of the clivus - Is there indication for craniocervical fixation?
title_sort Basilar invagination secondary to hypoplasia of the clivus - Is there indication for craniocervical fixation?
author Joaquim,Andrei Fernandes
author_facet Joaquim,Andrei Fernandes
Ghizoni,Enrico
Almeida,João Paulo
Anderle,Diogo Valli
Tedeschi,Helder
author_role author
author2 Ghizoni,Enrico
Almeida,João Paulo
Anderle,Diogo Valli
Tedeschi,Helder
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Joaquim,Andrei Fernandes
Ghizoni,Enrico
Almeida,João Paulo
Anderle,Diogo Valli
Tedeschi,Helder
dc.subject.por.fl_str_mv Platybasia
Decompressive craniectomy
Cranial fossa, posterior
Treatment outcome
topic Platybasia
Decompressive craniectomy
Cranial fossa, posterior
Treatment outcome
description The posterior fossa decompression is a form of treatment suggested for patients with basilar invagination (BI) secondary to hypoplasia symptomatic of the clivus and atlantoaxial alignment preserved. Based on the fact that the worsening of cranial-cervical kyphosis (decrease of clivus-canal angle to less than 150o) can result in anterior brainstem compression, we propose that some patients may benefit from the cranio-cervical fixation. We present a case report of a patient with BI secondary to clivus hypoplasia who underwent cranio-cervical fixation in extension, with a reduction in clivus-canal angle and improvement of symptoms without posterior fossa decompression.
publishDate 2014
dc.date.none.fl_str_mv 2014-03-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/report
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format report
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512014000100069
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512014000100069
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S1808-18512014130100292
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira de Coluna
publisher.none.fl_str_mv Sociedade Brasileira de Coluna
dc.source.none.fl_str_mv Coluna/Columna v.13 n.1 2014
reponame:Coluna/Columna
instname:Sociedade Brasileira de Coluna (SBCO)
instacron:SBCO
instname_str Sociedade Brasileira de Coluna (SBCO)
instacron_str SBCO
institution SBCO
reponame_str Coluna/Columna
collection Coluna/Columna
repository.name.fl_str_mv Coluna/Columna - Sociedade Brasileira de Coluna (SBCO)
repository.mail.fl_str_mv coluna.columna@uol.com.br||revistacoluna@uol.com.br
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