Bilateral occipito-condylar hyperplasia: a very rare anomaly treated with endoscopic endo-nasal approach

• Published in: Child's nervous system Vol. 31; no. 7; pp. 1201 - 1205
• Main Authors: Tayebi Meybodi, Keyvan, Tajik, Farzad, Sadrhosseini, Seyed Mousa, Nejat, Farideh, Zeinalizadeh, Mehdi
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer Berlin Heidelberg 01.07.2015
• Subjects: Case Report; Cervical Vertebrae - surgery; Child; Endoscopy - methods; Female; Humans; Hyperplasia; Magnetic Resonance Imaging; Medicine; Medicine & Public Health; Neurosciences; Neurosurgery; Nose - surgery; Occipital Lobe - surgery; Odontoid Process - pathology; Odontoid Process - surgery; Tomography, X-Ray Computed; Cranio-vertebral junction; Myelopathy; Endoscopic endo-nasal approach; Bilateral occipito-condylar hyperplasia
• ISSN: 0256-7040; 1433-0350
• DOI: 10.1007/s00381-015-2717-3

Introduction Occipito-condylar hyperplasia is a very rare anomaly of the cranio-vertebral junction that was only reported in two patients before and managed through posterior approach. Case material A 10-year-old girl with a sudden attack of quadriparesis and respiratory distress was admitted to our center. A detailed work up favored a high cervical myelopathy due to bilateral occipito-condylar hyperplasia and Chiari malformation. Results An endoscopic endo-nasal approach under navigation guide was used to drill the compressive lesion. Conclusion Our patient is added to the literature as the third one that was approached through a different surgical corridor. Successful decompression with excellent results was gained.