Case Report of Atlantoaxial Rotatory Fixation after Cochlear Implantation
Autor: | Tetsuya Tono, Takumi Okuda, Yutaka Hanamure, Keiji Matsuda, Takahiro Nakashima, Minoru Takaki, Tamon Hayashi |
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Rok vydání: | 2015 |
Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry Computed tomography Case Report General Medicine lcsh:Otorhinolaryngology medicine.disease lcsh:RF1-547 Surgery 03 medical and health sciences Fixation (surgical) 0302 clinical medicine medicine.anatomical_structure Throat medicine otorhinolaryngologic diseases 030223 otorhinolaryngology business Cochlear implantation Neck vasculature 030217 neurology & neurosurgery Nose Torticollis |
Zdroj: | Case Reports in Otolaryngology Case Reports in Otolaryngology, Vol 2016 (2016) |
ISSN: | 2090-6765 |
Popis: | Atlantoaxial rotatory fixation (AARF) is a relatively rare condition and is mainly seen in children. We report of a 7-year-old girl suffering from AARF after cochlear implantation (CI). Fortunately, early diagnosis based on three-dimensional computed tomography (3DCT) was made, and the patient was cured with conservative therapy. Nontraumatic AARF, which is also known as Grisel’s syndrome and occurs subsequent to neck infections or ear, nose, and throat (ENT) surgery, represents only a small fraction of AARF cases. Two factors are mainly thought to contribute to the pathogenesis of the condition estimated, namely, (i) neck immaturity in children and (ii) infiltration by inflammatory mediators around the upper neck joint, easily permitted by the neck vasculature. AARF should be suspected in case of torticollis developing after ENT surgery. |
Databáze: | OpenAIRE |
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