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Research ArticleCervical Spine

Atlantoaxial Subluxation Secondary to Unstable Os Odontoideum in a Patient With Arrested Hydrocephalus Due to Congenital Aqueductal Stenosis: A Case Report

ABOLFAZL RAHIMIZADEH, WALTER L. WILLIAMSON, SHAGHAYEGH RAHIMIZADEH and MAHAN AMIRZADEH
International Journal of Spine Surgery October 2018, 12 (5) 549-556; DOI: https://doi.org/10.14444/5067
ABOLFAZL RAHIMIZADEH
1Department of Spinal Surgery, Pars Advanced and Minimally Invasive Medical Manners Research Center, Pars Hospital, Tehran, Iran
MD
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WALTER L. WILLIAMSON
2Adventist Hinsdale Hospital, Hinsdale, Illinois
MD
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SHAGHAYEGH RAHIMIZADEH
2Adventist Hinsdale Hospital, Hinsdale, Illinois
MD
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MAHAN AMIRZADEH
1Department of Spinal Surgery, Pars Advanced and Minimally Invasive Medical Manners Research Center, Pars Hospital, Tehran, Iran
MS
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    Figure 1

    Brain computed tomography scan showing enlarged lateral and third ventricles, whereas the fourth ventricle is very small, indicating aqueduct stenosis.

  • Figure 2
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    Figure 2

    Brain magnetic resonance imaging demonstrating enlarged lateral ventricles without any edema around the ventricles, which points to arrested hydrocephalus, and small fourth ventricle compatible with aqueduct stenosis.

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    Figure 3

    T1-weighted sagittal magnetic resonance imaging (MRI) showing marked narrowing at craniovertebral junction; in T2-weighted sagittal MRI, myelopathy at this region is demonstrated.

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    Figure 4

    Lateral cervical radiograph, showing displaced atlas arch and os odontoideum posteriorly.

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    Figure 5

    (a) Sagittal and (b) coronal reconstructed computed tomography demonstrating an os odontoideum.

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    Figure 6

    Early postoperative radiograph showing C1-2 instrumentation.

  • Figure 7
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    Figure 7

    (a) Postoperative T1-weighted magnetic resonance image depicting appropriate decompression. (b) T2-weighted magnetic resonance imaging; besides appropriate decompression, the myelopathic patch at the craniovertebral junction is seen.

  • Figure 8
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    Figure 8

    At 18 months' follow-up, lateral cervical radiograph shows appropriate alignment and good bony fusion.

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International Journal of Spine Surgery
Vol. 12, Issue 5
1 Oct 2018
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Atlantoaxial Subluxation Secondary to Unstable Os Odontoideum in a Patient With Arrested Hydrocephalus Due to Congenital Aqueductal Stenosis: A Case Report
ABOLFAZL RAHIMIZADEH, WALTER L. WILLIAMSON, SHAGHAYEGH RAHIMIZADEH, MAHAN AMIRZADEH
International Journal of Spine Surgery Oct 2018, 12 (5) 549-556; DOI: 10.14444/5067

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Atlantoaxial Subluxation Secondary to Unstable Os Odontoideum in a Patient With Arrested Hydrocephalus Due to Congenital Aqueductal Stenosis: A Case Report
ABOLFAZL RAHIMIZADEH, WALTER L. WILLIAMSON, SHAGHAYEGH RAHIMIZADEH, MAHAN AMIRZADEH
International Journal of Spine Surgery Oct 2018, 12 (5) 549-556; DOI: 10.14444/5067
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Keywords

  • aqueduct stenosis
  • arrested hydrocephalus
  • etiology
  • os odontoideum

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