Bilateral Occipito-Condylar Hyperplasia: A Very Rare Anomaly Treated With Endoscopic Endo-Nasal Approach Publisher Pubmed



Tayebi Meybodi K^{1, 2} ; Tajik F^{1, 2} ; Sadrhosseini SM³ ; Nejat F⁴ ; Zeinalizadeh M^{1, 2, 5}
Source: Child's Nervous System Published:2015

Abstract

Introduction: Occipito-condylar hyperplasia is a very rare anomaly of the cranio-vertebral junction that was only reported in two patients before and managed through posterior approach. Case material: A 10-year-old girl with a sudden attack of quadriparesis and respiratory distress was admitted to our center. A detailed work up favored a high cervical myelopathy due to bilateral occipito-condylar hyperplasia and Chiari malformation. Results: An endoscopic endo-nasal approach under navigation guide was used to drill the compressive lesion. Conclusion: Our patient is added to the literature as the third one that was approached through a different surgical corridor. Successful decompression with excellent results was gained. © 2015, Springer-Verlag Berlin Heidelberg.