Malformations of the cranio-cervical junction: basilar impression


 

 

Abstract

Cranio-cervical junction abnormalities are a rare combination of congenital or acquired malformations, linked to the occipital-cervical region that often leads to severe neurological disorders. There is a great clinical polymorphism and high variability in the natural history of these conditions, which determines therapeutic outcomes difficult to assess in a global sense. The authors of this report give an account of the case of malformative bone complex of cranio-cervical junction and carry out a non-systematic search of the literature.

Keywords: Cranio-cervical malformations; Basilar impression; Platybasia; High cord compression

Copyright © 2021 by The American Society for BioMedicine and BM-Publisher, Inc.

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  1. Joaquim AF, Ghizoni E, Giacomini LA, Tedeschi H, Patel AA. Basilar invagination: surgical results. J Craniovertebr Junction Spine. 2014;5(2):78-84.
    https://doi.org/10.4103/0974-8237.139202
  2. Homén EA. Zur Kenntniss der rhachitischen (?). Deformationen der Schadelbasis und der basalen Schaedelhyperostosen. Dtsch Z NervHeilk. 1901;20(1-2):3-15.
    https://doi.org/10.1007/BF01665410
  3. Arvin B, Fournier-Gosselin M, Fehlings MG  Os odontoideum. Neurosurgery 2010;66(Suppl):A22-A31.
    https://doi.org/10.1227/01.NEU.0000366113.15248.07
  4. Burwood RJ, Watt I  Assimilation of the atlas and basilar impression: a review of 1,500 skull and cervical spine radiographs. Clin Radiol 1998;25(3):327-333.
    https://doi.org/10.1016/S0009-9260(74)80159-5
  5. Sindou M, Chávez-Machuca J, Hashish H  Cranio-cervical decompression for Chiari type I-malformation, adding extreme lateral foramen magnum opening and expansile duroplasty with arachnoid preservation. Technique and long-term functional results in 44 consecutive adult cases - comparison with literature data. Acta Neurochir 2002;144(10):1005-1019.
    https://doi.org/10.1007/s701-002-8289-9
  6. Menezes AH. Craniocervical developmental anatomy and its implications. Childs NervSyst. 2008;1109-1122.
    https://doi.org/10.1007/s00381-008-0600-1
  7. Boyles AL, Enterline DS, Hammock PH, et al. Phenotypic definition of chiari type I malformation coupled with high-density SNP genome screen shows significant evidence for linkage to regions on chromosomes 9 and 15. American Journal of Medical Genetics. 2006;140(24):2776-2785.
    https://doi.org/10.1002/ajmg.a.31546
  8. Ferreira ED, Botelho RV. Atlas Assimilation Patterns in Different Types of Adult Cranio-cervical Junction Malformations. Spine. 2015;40(22):1763-8.
    https://doi.org/10.1097/BRS.0000000000001045
  9. Grob D, Dvorak J, Panjabi M, Froehlich M, Hayek J. Posterior occipitocervical fusion. A preliminary report of a new technique.Spine (Phila Pa 1976). 1991;16:S17-24.
    https://doi.org/10.1097/00007632-199103001-00005
  10. Botelho RV, Ferreira ED. Angular craniometry in Cranio-cervical junction malformation. Neurosurg Rev. 2013;36(4):603-
    https://doi.org/10.1007/s10143-013-0471-0
  11. Hsu W,Zaidi HA, Suk I, et al. A new technique for intraoperative reduction of occipitocervical instability. Neurosurgery. 2010;66:319-323.
    https://doi.org/10.1227/01.NEU.0000369925.81522.60
  12. Rauch F, Glorieux FH. Osteogenesis imperfecta. Lancet. 2004;363:1377-85.
    https://doi.org/10.1016/S0140-6736(04)16051-0
  13. Roughley PJ, Rauch F, Gloriuex FH. Osteogenesis imperfect-clinical and molecular diversity. Eur Cells Mat. 2003;5:41-7.
    https://doi.org/10.22203/eCM.v005a04
  14. Engelbert RHH, Gerver WJM, Breslau‐Siderius LJ, et al. Spinal complications in osteogenesis imperfecta. Acta Orthop Scand. 1998;69(3):283-6.
    https://doi.org/10.3109/17453679809000931
  15. Janus GJ, Engelbert RH, Beek E, Gooskens RH, Pruijs JE. Osteogenesis imperfecta in childhood: MR imaging of basilar impression. Eur J Radiol. 2003;47:19-24.
    https://doi.org/10.1016/S0720-048X(02)00179-1
  16. Storhaug K. OI‐Consensus Conference, 17th and 18th November 1999, Sørmarka, Norway. Oslo, Norway: Norwegian Directorate for Health and Social Welfare;2002.
  17. Pyott SM, Schwarze U, Christiansen HE, et al. Mutations in PPIB (cyclophilin B) delay type I procollagen chain association and result in perinatal lethal to moderate osteogenesis imperfecta phenotypes. Hum Mol Genet. 2011;20:1595-609.
    https://doi.org/10.1093/hmg/ddr037
  18. Arponen H, Evälahti M, Waltimo‐Sirén J. Dimensions of the craniocervical junction in longitudinal analysis of normal growth. Childs Nerv Syst. 2010;26:763-9.
    https://doi.org/10.1007/s00381-009-1058-5
  19. Vuorimies I, Toiviainen‐Salo S, Hero M, Mäkitie O. Zoledronic acid treatment in children with osteogenesis imperfecta. Horm Res Paediatr. 2011;75:346-53.
    https://doi.org/10.1159/000323368
  20. Morota N. Pediatric craniovertebral junction surgery. Neurol Med Chir (Tokyo) 2017;57:435-60.
    https://doi.org/10.2176/nmc.ra.2017-0032
  21. Lee DH, Hong JT, Sung JH, et al. Morphologic analysis of occipital sinuses for occipital screw fixation using digital subtraction angiography. World Neurosurg 2016;91:279-84.
    https://doi.org/10.1016/j.wneu.2016.04.038
  22. Joaquim AF, Ghizoni E, Giacomini LA, Tedeschi H, Patel AA. Basilar invagination: Surgical results. J Craniovertebr Junction Spine. 2014 Apr;5(2):78-84.
    https://doi.org/10.4103/0974-8237.139202
  23. Goel A. Cervical Fusion as a Protective Response to Craniovertebral Junction Instability: A Novel Concept. Neurospine. 2018 Dec;15(4):323-328.
    https://doi.org/10.14245/ns.1836236.118
  24. Shah A, Kaswa A, Jain S, et al. Atlantoaxial instability associated with pan cervical vertebral fusion: report on management of 4 cases. Neurol India. 2018;66:147-50.
    https://doi.org/10.4103/0028-3886.222853
  25. Goel A, Jain S, Shah A. Management of a case of neglected atlantoaxial rotatory dislocation. Neurol India. 2017;65:1170-3.
    https://doi.org/10.4103/neuroindia.NI_397_17
  26. Goel A. Goel's classification of atlantoaxial "facetal" dislocation. J Craniovertebr Junction Spine. 2014;5:3-8.
    https://doi.org/10.4103/0974-8237.135206
  27. Milhorat TH, Chou MW, Trinidad EM, et al. Chiari I malformation redefined: clinical and radiographic findings for 364 symptomatic patients. Neurosurgery. 1999;44(5):1005-17.
    https://doi.org/10.1097/00006123-199905000-00042
  28. da Silva JA, dos Santos AA Jr, Melo LR, de Araújo AF, Regueira GP. Posterior fossa decompression with tonsillectomy in 104 cases of basilar impression, Chiari malformation and/or syringomyelia. Arq Neuropsiquiatr. 2011;69(5):817-23.
    https://doi.org/10.1590/S0004-282X2011000600018
  29. Pillay PK, Awad IA, Little JR, Hahn JF. Surgical management of syringomyelia: a five year experience in the era of magnetic resonance imaging. Neurol Res. 1991;13(1):3-9.
    https://doi.org/10.1080/01616412.1991.11739957
  30. Duan H, Zhang J, Xu F, Zhang Z, Zhao X. Syringomyelia with intramedullary ectopic choroid plexus: case report. Clin Neurol Neurosurg. 2018;169:34-6.
    https://doi.org/10.1016/j.clineuro.2018.03.016
  31. Hong JT, Takigawa T, Sugisaki K, Espinoza Orías AA, Inoue N, An HS. Biomechanical and morphometric evaluation of occipital condyle for occipitocervical segmental fixation. Neurol Med Chir (Tokyo). 2011;51(10):701-6.
    https://doi.org/10.2176/nmc.51.701
  32. Martin BA, Kalata W, Shaffer N, Fischer P, Luciano M, Loth F. Hydrodynamic and longitudinal impedance analysis of cerebrospinal fluid dynamics at the craniovertebral junction in type I Chiari malformation. PLoS One. 2013;8(10):e75335.
    https://doi.org/10.1371/journal.pone.0075335
  33. Milhorat TH, Chou MW, Trinidad EM, et al. Chiari I malformation redefined: clinical and radiographic findings for 364 symptomatic patients. Neurosurgery 1999;44:1005-1017.
    https://doi.org/10.1097/00006123-199905000-00042
  34. Tubbs RS, Griessenauer CJ, Loukas M, Shoja MM, Cohen-Gadol AA. Morphometric analysis of the foramen magnum: an anatomic study. Neurosurgery 2010;66:385-388.
    https://doi.org/10.1227/01.NEU.0000363407.78399.BA
  35. Bunck AC, Kroger JR, Juttner A, et al.  Magnetic resonance 4D flow characteristics of cerebrospinal fluid at the craniocervical junction and the cervical spinal canal. European radiology 2011;21:1788-1796.
    https://doi.org/10.1007/s00330-011-2105-7
  36. Curi MA, Skelly CL, Quint C, et al. Longitudinal impedance is independent of outflow resistance. J Surg Res 2002;108:191-197.
    https://doi.org/10.1006/jsre.2002.6558
  37. Lee S, Piersol N, Loth F, Fischer P, et al. Automated mesh generation of an arterial bifurcation based upon in vivo MR images. Proceedings of the 22nd Annual International Conference of the Iee Engineering in Medicine and Biology Society, 2000;22:719-722.
  38. Linge SO, Haughton V, Lovgren AE, et al. Effect of tonsillar herniation on cyclic CSF flow studied with computational flow analysis. AJNR American journal of neuroradiology 2011;32:1474-1481.
    https://doi.org/10.3174/ajnr.A2496

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Clinical Case
http://dx.doi.org/10.18081/2333-5106/015-09/545-551
American Journal of BioMedicine 2021, Volume 9, Issue 2, pages 122-141
Received January 19, 2021; revised April 25, 2021; accepted May 10, 2021; published May 21, 2021

How to cite this article
Bertullo G, Cabrera V. Malformations of the cranio-cervical junction: basilar impression. American Journal of BioMedicine 2021;9(2):122-141.
Clinical Case
1. Abstract
2. Keywords
3. Introduction
4. Results
5. Discussion
6. References

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