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首页> 美国卫生研究院文献>Korean Journal of Neurotrauma >What Causes Severe Myelopathy Resulting in Acute Quadriplegia after a Surgery for Atlantoaxial Subluxation due to Os Odontoideum? A Case Report
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What Causes Severe Myelopathy Resulting in Acute Quadriplegia after a Surgery for Atlantoaxial Subluxation due to Os Odontoideum? A Case Report

机译：什么原因导致严重的骨髓病导致由于骨s骨引起的寰枢椎半脱位手术导致急性四肢瘫痪？个案报告

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摘要

A case of acute quadriplegia resulting from reduction of atlantoaxial subluxation due to os odontoideum is rare. Patient with os odontoideum are at a greater risk for atlantoaxial instability and resultant spinal cord compression. In our case, the patient exhibited mild myelopathic symptoms before the onset of acute quadriplegia. Owing to the clinical presentations, the spinal cord not only seemed to suffer a mechanical compression but also an insufficiency of blood supply to the spinal artery and its branches. No other report has described the findings from magnetic resonance imaging before and after the onset of acute myelopathy after surgery. The aim of our case report is to highlight the pathophysiology and appropriate management strategy of a patient with severe progressive spinal cord myelopathy after surgery, secondary to chronic atlantoaxial subluxation due to os odontoideum. This case depicts the presence of this rare yet possible complication, and emphasizes the importance of preoperative evaluation in cases with chronic progressive myelopathy. Moreover, urgent postoperative treatment and rehabilitation are important for the recovery of neurological symptoms.
机译：少见的是由于牙本质骨质疏松导致寰枢半脱位而导致的急性四肢瘫痪。牙托骨质骨膜炎患者的寰枢椎不稳定和脊髓压迫的风险更高。在我们的案例中，患者在急性四肢瘫痪发作之前表现出轻度的骨髓病症状。由于临床表现，脊髓不仅受到机械压迫，而且脊髓动脉及其分支的血液供应不足。尚无其他报告描述手术后急性脊髓病发作前后磁共振成像的发现。我们的病例报告的目的是突出因严重牙周炎而导致的慢性寰枢椎半脱位的严重重度脊髓脊髓病患者的病理生理和适当的治疗策略。该病例描述了这种罕见但可能的并发症的存在，并强调了在进行性慢性脊髓病病例中进行术前评估的重要性。此外，紧急的术后治疗和康复对恢复神经系统症状很重要。

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