AJNN
Academic Journal of Neurology and Neurosurgery

The Academic Journal of Neurology and Neurosurgery deals with Neurology and Neurosurgery accepts articles on these topics. Academic Journal of Neurology and Neurosurgery publishes original research articles, review articles, case reports, editorial commentaries, letters to the editor, educational articles, and conference/meeting announcements.

eISSN: 3023-6517
Creative Commons CC BY-NC-ND 4.0 International License.
EndNote Style

Online Manuscript System

Index
Case Report
Os odontoideum with progressive symptoms: case report
Abstract
A 53-year-old male patient was admitted to the neurosurgery outpatient clinic with neck pain. He had difficulty performing fine manual skills, had numbness in his hands, and felt as if he was stepping on a space while walking. He declared that his head occasionally fell forward involuntarily. He had no urinary or fecal incontinence or neurogenic claudication. On neurologic examination, there was no loss of muscle strength and no pathologic reflex. He was skillful in cerebellar tests. He declared no history of falls, impacts, or accidents. From the patient's hospital digital records, it was seen that he was admitted to the neurosurgery outpatient clinic with right arm and neck pain before, and surgical treatment was recommended to him due to the os odontoideum, but he refused this treatment. As the patient became symptomatic in the following period, atlantoaxial instability was found on cervical dynamic X-rays. For all these reasons, he was advised to undergo surgical treatment, but he re-refused the operation. In conclusion, it was considered that close follow-up with conservative treatment in asymptomatic os odontoideum patients may be appropriate. However, it was suggested that the possibility of AAI should be considered in patients who become symptomatic.

Keywords : Os odontoideum, atlantoaxial instability, conservative treatment, surgery

Download Article


1. Spierings EL, Braakman R. The management of os odontoideum.Analysis of 37 cases. J Bone Joint Surg Br. 1982;64(4):422-428.
2. Cho S, Shlobin NA, Dahdaleh NS. Os odontoideum: a comprehensivereview. J Craniovertebr Junction Spine. 2022;13(3):256-264.
3. Arvin B, Fournier-Gosselin MP, Fehlings MG. Os odontoideum:etiology and surgical management. Neurosurg. 2010;66(3):A22-A31.
4. Schuler TC, Kurz L, Thompson DE, Zemenick G, Hensinger RN,Herkowitz HN. Natural history of os odontoideum. J Pediatr Orthop.1991;11(2):222-225.
5. Jumah F, Alkhdour S, Mansour S, et al. Os odontoideum: acomprehensive clinical and surgical review. Cureus. 2017;9(8):e1551.
6. Goel A, Patil A, Shah A, Dandpat S, Rai S, Ranjan S. Os odontoideum:analysis of 190 surgically treated cases. World Neurosurg.2020;134:e512-e523.
7. Zhang Z, Zhou Y, Wang J, et al. Acute traumatic cervical cord injury inpatients with os odontoideum. J Clin Neurosci. 2010;17(10):1289-1293.
8. Dai L, Yuan W, Ni B, Jia L. Os odontoideum: etiology, diagnosis, andmanagement. Surg Neurol. 2000;53(2):106-109.
9. White D, Al-Mahfoudh R. The role of conservative management inincidental os odontoideum. World Neurosurg. 2016;88:695.e15-695.e17.
10. Kim IS, Hong JT, Jang WY, et al. Surgical treatment of os odontoideum.J Clin Neurosci. 2011;18(4):481-484.
Article available in :
Volume 1, Issue 2, 2024
Page : 36-38
https://doi.org/10.51271/AJNN-0010
Article Information
Received : 06 Nis 2024
Accepted : 29 Nis 2024
Published : 30 Nis 2024
Corresponding Author :

Ahmet Melih Erdoğan: Department of Neurosurgery, Faculty of Medicine, Kırıkkale University, Kırıkkale, Turkiye

[email protected]
Citation : Sevimoğlu Ö, Erdoğan AM, Özdemir A, Öden M, Bakar B. Os odontoideum with progressive symptoms: case report Acad J Neurol Neurosurg. 2024;1(2):36-38.

Read: 269
Cited: 0
Download : 96
_Footer