Unexpected Persistent Dentocentral Synchondrosis of C2
Por:
Nalla S, Blanco-Perez E, Mata-Escolano F, Llido S and Sanchis-Gimeno JA
Publicada:
1 mar 2018
Resumen:
BACKGROUND: The persistence of synchondrosis in adulthood can confound
diagnostic decisions made during patient management.
CASE DESCRIPTION: A 59-year-old woman who presented neck pain, acute
headache, and acute cervical myelopathy symptoms after suffering
whiplash grade 3 in a car rear-end impact underwent a conventional
radiologic study that revealed no fracture and no anatomic spine
variations. The magnetic resonance imaging study revealed no spinal cord
intensity signal changes, but it showed a persistent (remnant)
dentocentral synchondrosis that was undetected in a previous
conventional radiographic evaluation.
CONCLUSIONS: The localization and level of the remnant of the
dentocentral synchondrosis are extremely important from the clinical
viewpoint because of odontoid and C2 fractures. Neurosurgeons should
thus be aware of the possible presence of a persistent (remnant) C2
dentocentral synchondrosis in adult subjects in order to avoid
misdiagnosis with C2 fracture.
Filiaciones:
Nalla S:
Univ Johannesburg, Dept Human Anat & Physiol, Fac Hlth Sci, Auckland Pk, South Africa
Department of Human Anatomy and Physiology, Faculty of Health Sciences, University of Johannesburg, Auckland Park, South Africa
:
Univ Hosp La Ribera, Dept Radiol, Valencia, Spain
Department of Radiology, University Hospital de La Ribera, Valencia, Spain
Mata-Escolano F:
ERESA, Dept Radiol, CT & MRI Unit, Valencia, Spain
Department of Radiology, CT and MRI Unit, ERESA, Valencia, Spain
Llido S:
Univ Valencia, Dept Anat & Human Embryol, Fac Med, Valencia, Spain
Department of Anatomy and Human Embryology, Faculty of Medicine, University of Valencia, Valencia, Spain
:
Univ Valencia, Dept Anat & Human Embryol, Fac Med, Valencia, Spain
Department of Anatomy and Human Embryology, Faculty of Medicine, University of Valencia, Valencia, Spain
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