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Association of Atlanto-Occipital Dislocation, Retroclival Hematoma, and Hydrocephalus: Management and Survival in a Pediatric Patient.

Authors
  • Lee, Isaac L1
  • Vasquez, Luis F2
  • Tyroch, Alan H1
  • Trier, Todd T2
  • 1 Department of Surgery, Texas Tech University Health Sciences Center El Paso, El Paso, Texas, United States. , (United States)
  • 2 Department of Neurosurgery, University Medical Center El Paso, El Paso, Texas, United States. , (United States)
Type
Published Article
Journal
Journal of neurological surgery reports
Publication Date
Jan 01, 2017
Volume
78
Issue
1
Identifiers
DOI: 10.1055/s-0037-1600914
PMID: 28321388
Source
Medline
Keywords
License
Unknown

Abstract

Atlanto-occipital dislocation (AOD) is an injury with high morbidity and mortality. We present a case of survival of a pediatric patient with the diagnoses of AOD, retroclival hematoma, and resulting hydrocephalus. The patient's cervical spine was stabilized until occipital-cervical fusion provided definitive treatment, and the hydrocephalus was treated with a ventriculostomy. The patient survived with no neurological deficits. A better understanding and awareness of the radiologic criteria of AOD will lead to earlier recognition of AOD and improved outcomes, even in the presence of complications from AOD. Surgical fixation should be used for definitive treatment of injuries with AOD.

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