The diagnosis and management of traumatic atlanto-occipital dislocation injuries.
نویسندگان
چکیده
• If there is clinical or radiographic suspicion of AOD, CT of the craniocervical junction is recommended. The CCI determined on CT has the highest diagnostic sensitivity and specificity for AOD among all radiodiagnostic indicators in pediatric patients. The utility of CCI in adult patients has not been reported. • A lateral cervical radiograph is recommended for the diagnosis of AOD. If a radiological method for measurement is used to determine AOD on the lateral radiograph, the basionaxial interval-basion dental interval (BAIBDI) method is recommended. The presence of upper cervical prevertebral soft tissue swelling (STS) on an otherwise non-diagnostic plain cervical radiograph should prompt CT imaging to rule out AOD. Treatment
منابع مشابه
Diagnosis and management of traumatic atlanto-occipital dislocation injuries.
DIAGNOSTIC STANDARDS There is insufficient evidence to support diagnostic standards. GUIDELINES There is insufficient evidence to support diagnostic guidelines. OPTIONS A lateral cervical x-ray is recommended for the diagnosis of atlanto-occipital dislocation. If a radiological method for measurement is used, the basion-axial interval-basion-dental interval method is recommended. The pre...
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Traumatic atlanto-occipital dislocation is a serious injury that is usually fatal. The number of patients surviving this injury, however, appears to be increasing, and most of these survivors are children. This may reflect an improvement in emergency transport services. Seventeen previously reported cases of patients surviving atlanto-occipital dislocation for more than 48 hours are reviewed an...
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ورودعنوان ژورنال:
- Neurosurgery
دوره 72 Suppl 2 شماره
صفحات -
تاریخ انتشار 2013