Traumatic Atlantoaxial Rotatory Subluxation in Adult: Case Report
| Autor: | Rafaela Campos Alcântara, Jacks Alan Tenório de Souza, Andrei Fernandes Joaquim |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: | |
| Zdroj: | Brazilian Neurosurgery, Vol 40, Iss 01, Pp 101-106 (2021) |
| Druh dokumentu: | article |
| ISSN: | 0103-5355 2359-5922 |
| DOI: | 10.1055/s-0040-1719007 |
| Popis: | Traumatic atlantoaxial rotatory subluxation (AARS) is generally found in pediatric patients, rarely found in adults, being a life-threatening condition especially when early diagnosis is not possible, which can lead to severe late neurological deficits. We describe a 38-year-old patient, victim of physical aggression caused by strangulation attempt who developed AARS, an uncommon traumatic cause. During the hospital care, the early diagnosis allowed us to institute a conservative treatment, which made the case uncommon, since most of the time surgical treatment is imperative. With the patient awake and under analgesia, a closed reduction was performed that promoted immediate pain relief, followed by a prescription of wearing a Philadelphia-type collar for 8 weeks. During the follow-up, cervical spine radiographies demonstrated no subluxation after removing the cervical collar. The patient was asymptomatic after 6 months of treatment. This case supports the importance of nonoperative management of AARS in selected cases. |
| Databáze: | Directory of Open Access Journals |
| Externí odkaz: |
|