Neurologia medico-chirurgica
-
Neurol. Med. Chir. (Tokyo) · Mar 2004
Case ReportsSurgical management of high cervical disc prolapse associated with basilar invagination--two case reports.
C3-4 cervical disc prolapse was associated with basilar invagination and short neck in a 21-year-old man and additionally with an extensive Klippel-Feil abnormality and fusion of multiple cervical vertebrae in a 32-year-old man. The transoral surgical route was adopted for cervical discectomy in the latter case and an additional odontoidectomy in the former case. ⋯ Both the patients were relieved of symptoms and remained asymptomatic at follow up. Simultaneous fixation procedure is not mandatory after transoral surgery in patients with basilar invagination.