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Bilateral Occipito-Condylar Hyperplasia: A Very Rare Anomaly Treated With Endoscopic Endo-Nasal Approach Publisher Pubmed



Tayebi Meybodi K1, 2 ; Tajik F1, 2 ; Sadrhosseini SM3 ; Nejat F4 ; Zeinalizadeh M1, 2, 5
Authors
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Authors Affiliations
  1. 1. Brain and Spinal Cord Injuries Repair Research Center (BASIR), Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Neurological Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Department of Otolaryngology, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Department of Neurological Surgery, Children’s Hospital Medical Center, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Tehran, 1419733141, Iran

Source: Child's Nervous System Published:2015


Abstract

Introduction: 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. Case material: 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. Conclusion: 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. © 2015, Springer-Verlag Berlin Heidelberg.