Extremely Rare Pathologies of the Craniovertebral Junction Region: A Case Series and Review of the Literature

Surgeries Pub Date : 2023-08-28 DOI:10.3390/surgeries4030042
E. Maiorano, G. Spena, F. Sovardi, P. Dehgani-Mobaraki, F. Pagella, A. Montalbetti, Elisabetta Peppucci, Christian Grasso, C. Zoia
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Abstract

Background: The craniovertebral junction is a complex region, connecting the occiput, the atlas, the axis, and the containing vital neural and vascular structures. There is a great variability in diseases involving the craniovertebral junction, of different nature, each rare in frequency. Methods: We conducted a retrospective chart review of the patients diagnosed with extremely rare pathologies of the craniovertebral junction that we have operated in the last 5 years. Results: After excluding the relatively more frequent pathologies, we identified nine cases of rare craniovertebral junction pathologies. Six were operated using an endoscopic endonasal approach, two using a far lateral transcranial approach, and one underwent a C1 hemilaminectomy. Conclusions: Diagnosis and management of the rare pathologies of the craniovertebral junction are challenging. A multidisciplinary approach is recommended for the proper management of these patients.
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颅椎交界区极为罕见的病变:病例系列及文献回顾
背景:颅椎交界处是一个复杂的区域,连接枕骨、寰椎、轴以及包含重要神经和血管结构。涉及颅椎交界处的疾病有很大的可变性,性质不同,每种疾病的频率都很罕见。方法:我们对过去5年中诊断为极为罕见的颅椎交界处病变的患者进行了回顾性图表回顾。结果:在排除相对较常见的病理后,我们确定了9例罕见的颅椎交界处病理。其中6例采用鼻内窥镜入路,2例采用远侧经颅入路,1例接受C1半椎板切除术。结论:罕见的颅椎交界处病变的诊断和处理具有挑战性。建议采用多学科方法对这些患者进行适当管理。
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0.80
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审稿时长
11 weeks
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