Regression of an atlantoaxial degenerative articular cyst associated with subluxation during conservative treatment

Author:

Sagiuchi Takao1,Shimizu Satoru1,Tanaka Ryusui1,Tachibana Shigekuni1,Fujii Kiyotaka1

Affiliation:

1. Department of Neurosurgery, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan

Abstract

✓ The presence of an atlantoaxial degenerative articular cyst is rare; when present this lesion extends posteriorly to the dens, causing cervicomedullary compressive myelopathy. The authors describe a symptomatic case of this lesion associated with atlantoaxial subluxation in a 76-year-old man. The patient’s neurological symptoms resolved and corresponded to a reduction in the size of the cyst. After 8 months of continued conservative treatment, in which the patient wore a Philadelphia collar, the cyst spontaneously regressed. Subsequently, a C1–2 posterior fusion was performed to treat the atlantoaxial subluxation.

Publisher

Journal of Neurosurgery Publishing Group (JNSPG)

Subject

General Medicine

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