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Case Report
Atlantoaxoid subluxation by suboccipital Pott's disease: Arthrodesis using the Harms technique. About a case and review of the literature
1 Neurosurgery Department, Fann University Hospital, Dakar, Senegal
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Louncény Fatoumata Barry
MD, Neurosurgery Department, Fann University Hospital, Post Box: 5035, Dakar,
Senegal
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Article ID: 100088Z06MF2020
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How to cite this article
Faye M, Barry LF, Diop A, Sy ECN, Cisse Y, Badiane SB. Atlantoaxoid subluxation by suboccipital Pott’s disease: Arthrodesis using the Harms technique. About a case and review of the literature. Case Rep Int 2020;9:100088Z06MF2020.ABSTRACT
Introduction: The suboccipital location of Pott′s disease is exceptional, and may be complicated by compression of the bulbomedullary junction.
Case Report: We report the case of a young patient of 32 years of age, received in a table of spastic tetraplegia preceded by cervicalgia without associated sensory or sphincter disorders. Computed tomography and magnetic resonance imaging of the cervico-occipital hinge showed C1-C2 subluxation with osteolysis of the C1 arches, bone sequestration, and anterior compression of the bulbomedullary junction, requiring arthrodesis using the Harms technique. Diagnostic confirmation was obtained by pathological examination of bone fragments and epidural tissue removed per operation. Tuberculosis chemotherapy was started for 16 months. Progression was favorable with motor recovery allowing unaided walking.
Conclusion: The surgical indication of these all tuberculosis localizations depends on the presence of bulbomedullary compression and/or cervico-occipital hinge instability.
Keywords: Arthrodesis, Harms, Pott′s disease, Suboccipital
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Author Contributions
Mohameth Faye - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Louncény Fatoumata Barry - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Abdoulaye Diop - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Elhadj Cheikh Ndiaye Sy - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Yakhya Cisse - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Seydou Boubakar Badiane - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2020 Mohameth Faye et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
