Upward displacement of the odontoid process into the foramen magnum: a palaeopathological case

• Autorzy: Saccheri P. , Crivellato E. , Toso F. , Travan L.
• Języki publikacji: EN

Abstrakty

EN

An upward displacement of the odontoid process into the foramen magnum was observed in the skeletal remains of a young male unearthed from a 14th to 17th century cemetery in the north-eastern Italy. Examination of skull bone vestiges and computed tomography scan analysis of the axis exhibited a clear-cut contact zone between the odontoid process and the anterior border of the foramen magnum. In addition, the odontoid process appeared backward deviated. Findings suggest a possible diagnosis of basilar impression/invagination. This anomalous contact may cause compression of neural and vascular structures with a multifaceted series of clinical symptoms. We are unable to set our finding into a complete presumptive diagnostic outline because there is no chance to estimate either the magnitude of the whole craniovertebral junction defect but we believe that the present case contributes to the general knowledge of the craniovertebral region and to bone pathology in ancient times. (Folia Morphol 2018; 77, 3: 604–608)

• Wydawca: -
• Czasopismo: Folia Morphologica
• Rocznik: 2018
• Tom: 77
• Numer: 3
• Opis fizyczny: p.604–608,fig.,ref.

Twórcy

autor

Saccheri P.

• Department of Medicine, Human Anatomy Section, P.le Kolbe, n.3, 33100 Udine, Italy

autor

Crivellato E.

• Department of Medicine, Human Anatomy Section, P.le Kolbe, n.3, 33100 Udine, Italy

autor

Toso F.

• Department of Medicine, Human Anatomy Section, P.le Kolbe, n.3, 33100 Udine, Italy

autor

Travan L.

• Department of Medicine, Human Anatomy Section, P.le Kolbe, n.3, 33100 Udine, Italy

Bibliografia

• 1. Bertozzi JC, Rojas CA, Martinez CR. Evaluation of the pediatric craniocervical junction on MDCT. AJR Am J Roentgenol. 2009; 192(1): 26–31, doi: 10.2214/ajr.192.5_supplement.0a26, indexed in Pubmed: 19098175.
• 2. Buikstra JE, Ubelaker DH. Standards for data collection from human skeletal remains. Fayetteville: Arkansas Archaeological Survey Research Series No. 44. 1994.
• 3. Campillo D. Paleoradiology. II: congenital and hereditary malformations of the skeleton. J Paleopath. 2005; 17: 45–64.
• 4. Hanihara T, Ishida H. Frequency variations of discrete cranial traits in major human populations. II. Hypostotic variations. J Anat. 2001; 198(Pt 6): 707–725, indexed in Pubmed: 11465863.
• 5. Khaleel ZL, Besachio DA, Bisson EF, et al. Estimation of odontoid process posterior inclination, odontoid height, and pB-C2 line in the adult population. J Neurosurg Spine. 2014; 20(2): 172–177, doi: 10.3171/2013.10.SPINE13405, indexed in Pubmed: 24313675.
• 6. Lowenstein EJ. Osteogenesis imperfecta in a 3,000-yearold mummy. Childs Nerv Syst. 2009; 25(5): 515–516, doi: 10.1007/s00381-009-0817-7, indexed in Pubmed: 19212769.
• 7. Mann RW, Tuamsuk P, Hefner JT. Aplasia of the os odontoideum: Skeletal manifestation from Thailand. Int J Paleopathol. 2013; 3(4): 302–306, doi: 10.1016/j.ijpp.2013.08.001, indexed in Pubmed: 29539568.
• 8. Marchewka J, Borowska-Strugińska B, Czuszkiewicz J, et al. Cervical Spine Anomalies: Children in One of the Oldest Churches in Poland. Int J Osteoarchaeol. 2017; 27(5): 926–934, doi: 10.1002/oa.2608.
• 9. Menezes A. Craniocervical developmental anatomy and its implications. Child’s Nervous System. 2008; 24(10): 1109–1122, doi: 10.1007/s00381-008-0600-1.
• 10. Menezes AH, VanGilder JC, Clark CR, et al. Odontoid upward migration in rheumatoid arthritis. An analysis of 45 patients with “cranial settling”. J Neurosurg. 1985; 63(4): 500–509, doi: 10.3171/jns.1985.63.4.0500, indexed in Pubmed: 4032013.
• 11. Milhorat TH, Chou MW, Trinidad EM, et al. Chiari I malformation redefined: clinical and radiographic findings for 364 symptomatic patients. Neurosurgery. 1999; 44(5): 1005–1017, indexed in Pubmed: 10232534.
• 12. Pany D, Teschler-Nicola M. Klippel-Feil syndrome in an Early Hungarian Period juvenile skeleton from Austria. Int J Osteoarchaeol. 2007; 17(4): 403–415, doi: 10.1002/oa.880.
• 13. Radcliff KE, Ben-Galim P, Dreiangel N, et al. Comprehensive computed tomography assessment of the upper cervical anatomy: what is normal? Spine J. 2010; 10(3): 219–229, doi: 10.1016/j.spinee.2009.12.021, indexed in Pubmed: 20207332.
• 14. Smith J, Shaffrey C, Abel M, et al. Basilar Invagination. Neurosurgery. 1994; 66(suppl_3): A39–A47, doi: 10.1227/01.neu.0000365770.10690.6f.
• 15. Smoker WR. Craniovertebral junction: normal anatomy, craniometry, and congenital anomalies. Radiographics. 1994; 14(2): 255–277, doi: 10.1148/radiographics.14.2.8190952, indexed in Pubmed: 8190952.
• 16. Tubbs RS, Beckman J, Naftel RP, et al. Institutional experience with 500 cases of surgically treated pediatric Chiari malformation Type I. J Neurosurg Pediatr. 2011; 7(3): 248–256, doi: 10.3171/2010.12.PEDS10379, indexed in Pubmed: 21361762.
• 17. Tubbs RS, Wellons JC, Blount JP, et al. Inclination of the odontoid process in the pediatric Chiari I malformation. J Neurosurg. 2003; 98(1 Suppl): 43–49, indexed in Pubmed: 12546387.
• 18. Von To, Gehle W. The upper cervical spine: regional anatomy, pathology, and traumatology. A systematic radiological atlas and textbook. Grune & Stratton, New York 1972.
• 19. Walker PL, Bathurst RR, Richman R, et al. The causes of porotic hyperostosis and cribra orbitalia: a reappraisal of the iron-deficiency-anemia hypothesis. Am J Phys Anthropol. 2009; 139(2): 109–125, doi: 10.1002/ajpa.21031, indexed in Pubmed: 19280675.
• 20. Welcker H. Die Abstammung der Bevölkerung von Socotra. Deutscher Geographentag, Hamburg 1885.

Identyfikatory

DOI

10.5603/FM.a2017.0110