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2.1
Platybasia
Basilar Impression

Presentation

For example, if Platybasia is present with the Arnold-Chiari I Syndrome; normally Craniectomy and Suboccipital Decompression surgery is performed. [institutchiaribcn.com]

We present a modified MR imaging technique that resolves the issue of ambiguous anatomy. [ncbi.nlm.nih.gov]

PLATYBASIA AND BASILAR INVAGINATION PRESENTING AS CEREBROVASCULAR ACCIDENT Abstract The congenital and acquired deformities of thecraniovertebral junction (basilar invagination,basilar impression, or platybasia) can present in the form ofslowly progressive [wwjournals.com]

The parameters tested in the present study demonstrated extremely high intraobserver reproducibility and interobserver agreement. [scielo.br]

Not only are the ocular signs and symptoms of these entities often the presenting complaints but, equally important, they simulate those of multiple sclerosis, tumor of the brain stem or cerebellum, and other lesions of the posterior fossa, which have [jamanetwork.com]

Entire Body System

  • Asymptomatic

    In most cases, subluxation less than this is asymptomatic. Lateral x-rays taken in extension and flexion are used to demonstrate AAS. [dizziness-and-balance.com]

    Although asymptomatic patients are often followed conservatively, many authors favor surgery even if no symptoms of cord compression are evident in rheumatoid patients. [neuroradiologyonthenet.blogspot.com]

    Patients may be asymptomatic or complain of headaches, neck pain, cough, trigeminal neuralgia, limb weakness, altered muscle reflexes, quadriparesis, nystagmus, and ataxia. [rrnursingschool.biz]

    While it can be closely associated with basilar invagination and basilar impression, in isolation it is asymptomatic and essentially is a misused term when used to describe congenital defects. [statpearls.com]

    Computed tomography evaluation of the normal craniocervical junction craniometry in 100 asymptomatic patients. [scielo.br]

  • Enuresis

    The Filum Disease involves other diseases such as spinal disc herniations, some cerebral vascular insufficiency syndromes, facet joint and Baastrup syndromes, Fibromyalgia, Chronic Fatigue, nocturnal enuresis, urinary incontinence and accused parapareses [institutchiaribcn.com]

Respiratoric

  • Painful Cough

    Table 1 Basilar invagination: some radiological signs Basilar Impression or Invagination of the Skull Basilar invagination, the commonest malformation of the craniocervical junction [9], is a well recognised cause of neck pain, cough headache, lower cranial [karger.com]

    Patients may be asymptomatic or complain of headaches, neck pain, cough, trigeminal neuralgia, limb weakness, altered muscle reflexes, quadriparesis, nystagmus, and ataxia. [rrnursingschool.biz]

    Table 1 Basilar invagination: some radiological signs Basilar Impression or Invagination of the Skull Basilar invagination, the commonest malformation of the craniocervical junction [ 9 ], is a well recognised cause of neck pain, cough headache, lower [doi.org]

Jaw & Teeth

  • Prognathism

    He described 4 types: orthognathous dolichocephalic, orthognathous brachycephalic, prognathous dolichocephalic and prognathous brachycephalic. [karger.com]

    Simple craniosynostosis Skull anomaly Treacher collins syndrome Clinical Information Autosomal dominant disorder characterized by acrocephaly, exophthalmos, hypertelorism, strabismus, parrot-beaked nose, and hypoplastic maxilla with relative mandibular prognathism [icd9data.com]

Musculoskeletal

  • Neck Pain

    Table 1 Basilar invagination: some radiological signs Basilar Impression or Invagination of the Skull Basilar invagination, the commonest malformation of the craniocervical junction [9], is a well recognised cause of neck pain, cough headache, lower cranial [karger.com]

    These abnormalities can result in neck pain; syringomyelia; cerebellar, lower cranial nerve, and spinal cord deficits; and vertebrobasilar ischemia. Diagnosis is by MRI or CT. [merckmanuals.com]

    Patients may be asymptomatic or complain of headaches, neck pain, cough, trigeminal neuralgia, limb weakness, altered muscle reflexes, quadriparesis, nystagmus, and ataxia. [rrnursingschool.biz]

Eyes

  • Diplopia

    The symptoms may also include clumsiness, numbness along one side of the body, unsteadiness of the gait, vertigo, weakness of one side of the body, loss of control of bowel and bladder, diplopia (double vision), periodic or constant cramping pain of one-sided [xpertdox.com]

    The most frequent ocular symptoms are: retro-orbital headache, diplopia, photopsia, blurred vision, and photophobia. [bmcmusculoskeletdisord.biomedcentral.com]

Face, Head & Neck

  • Short Neck

    She had blue sclera and short neck (figure 1), right hypoglossal palsy, bilateral pyramidal tract signs, and gaze-evoked nystagmus. [n.neurology.org]

    Klippel-Feil syndrome type II is massive fusion of two of seven cervical vertebrae associated with short neck and low hair line. [ncbi.nlm.nih.gov]

    A short neck and flat skull base are often visible on inspection. Hypernasal speech, i.e. velopharyngeal insufficiency, with or without palatal clefts is an occasional clue. The neurologicalsigns [11] are notably variable. [karger.com]

Urogenital

  • Nocturnal Enuresis

    The Filum Disease involves other diseases such as spinal disc herniations, some cerebral vascular insufficiency syndromes, facet joint and Baastrup syndromes, Fibromyalgia, Chronic Fatigue, nocturnal enuresis, urinary incontinence and accused parapareses [institutchiaribcn.com]

Neurologic

  • Lhermitte Sign

    Lhermitte's sign (a tingling on neck movement, flexion in this case) can be demonstrated at any stage. A plain lateral x-ray, with odontoid views, is a good place to start, but is not 100% sensitive (Riew, Hilibrand et al. 2001). [dizziness-and-balance.com]

    Tingling down the back, often into the legs, with neck flexion (Lhermitte sign) may occur. Uncommonly, pain and temperature senses (spinothalamic tract function) are impaired in a stocking-glove pattern. [merckmanuals.com]

  • Hyperreflexia

    Other findings included right hemiparesis with muscular atrophy, loss of thermal and painful sensation in the right arm, generalized hyperreflexia, and bilaterally positive Babinski sign. [cambridge.org]

    According to Sawin and Menezes series in persons with osteogenesis imperfecta (1997), symptoms and signs included headache (76%), lower cranial nerve dysfunction (68%), hyperreflexia (56%), quadriparesis (48%), ataxia (32%), nystagmus (28%), and scoliosis [dizziness-and-balance.com]

    On physical exam, she was found to have hyperreflexia and clonus. Brain MRI showed a dysplastic skull base characterized by platybasia and cranial settling/basilar invagination. [pmrjabstracts.org]

  • Spastic Quadriplegia

    Spastic quadriplegia can result from platybasia. Basilar invagination or compression of posterior fossa structures may lead to cerebellar or brainstem compressive syndromes. [emedicine.medscape.com]

Treatment

Treatment: Unless there is impingement or compression of nerve roots or other neural tissue, no treatment is specifically indicated for platybasia; however, neural compression requires optimal treatment. [uclahealth.org]

Treatment Conventionally, no medical or neurosurgical treatments are indicated for the diagnosis of Platybasia. [institutchiaribcn.com]

Subsequent refinement of radiology facilitated diagnosis and the later advent of surgical treatment. © 2007 S. [karger.com]

It is now believed that atlantoaxial fixation forms the basis of treatment in all types of basilar invagination. Decompression of bone either by transoral route or by posterior foramen magnum decompression are suboptimal forms of treatment. [ncbi.nlm.nih.gov]

Prognosis

In patients who are considered poor surgical risks, neurologic progression is likely and the one-year prognosis is poor. Neurosurgical treatment is quite difficult. [dizziness-and-balance.com]

Constantin Ionescu-Tirgoviste and Cristian Guja Resting metabolic rate in obese type 2 diabetic patients candidates for metabolic surgery 214 Anna Mirela Stroie and Mircea Penescu Adipose tissue mass and lean tissue mass predict medium-term outcome and prognosis [acad.ro]

The prognosis for patients with Paget disease who have giant cell tumors usually is good. High doses of steroids have been shown to reduce tumor mass. Radiation and surgery also have been used to treat symptomatic giant cell tumors. [emedicine.medscape.com]

Statistical analysis indicated that the cerebellar tonsillar descent (CTD) grade, basilar invagination and platybasia influenced the clinical outcome (P platybasia were indicated to be predictors of poor clinical prognosis. [science.gov]

Etiology

Etiology congenital achondroplasia Down syndrome Chiari malformations craniocleidodysostosis craniofacial anomalies osteogenesis imperfecta acquired Paget disease osteomalacia rickets trauma fibrous dysplasia hyperparathyroidism 5 hypoparathyroidism Associations [radiopaedia.org]

Royo-Salvador, relating the caudal traction of the entire nervous system by the Filum terminale, as a cause of the Platybasia – among other diseases – a new etiological treatment has been designed, given that surgically sectioning the Filum Terminale [institutchiaribcn.com]

Similarly, bilateral vestibular deficits combined with gaze-evoked nystagmus have been found in strokes involving central vestibular structures.Reference Kim, Lee, Park, Choi and Kim 4, Reference Park, Kim, Strupp and Zee 5 Our patient extended the etiology [cambridge.org]

Many factors may contribute to the etiology of the VPD in 22q11DS [ 2 ]. An abnormally obtuse cranial base angle, also known as platybasia, is a common finding in 22q11DS [ 3, 4, 5 ]. [e-aps.org]

Epidemiology

[…] imperfecta Malignancies: chondrosarcoma, multiple myeloma, metastatic deposits References: [1] Chiari malformations Definition : caudal displacement of the cerebellum with/without the medulla oblongata, through the foramen magnum, due to CVJ anomalies Epidemiology [amboss.com]

35 Elisa Mădălina Chirca, Rodica Luca and Georgescu Dan-Emil The prevalence of caries in first permanent molar in a group of school children aged 6 to 7 years in Piteşti 41 Flaviu Otniel Ciobotă, Gheorghe Cristea, Mariana Ioniţă and Ioan Liviu Mitrea Epidemiological [acad.ro]

Epidemiology Interestingly, the most common developmental abnormality at this site is atlantooccipital assimilation or occipitalization of the atlas, which frequently is noted in many other congenital anomalies. [statpearls.com]

In view of the epidemiological, pathophysiological, and (certainly) therapeutic peculiarities that distinguish the types of basilar invagination, the present study is restricted to the study of type B. [scielo.br]

Pathophysiology

In the current report, the primary focus will be on clinical aspects of these CVJ abnormalities; the pathologic and radiologic aspects, such as developmental and pathophysiologic background or radiographic analysis, will be discussed briefly, confined [ncbi.nlm.nih.gov]

Apparently, each type stems from a different pathophysiological process, type A being predominantly a dislocation and type B, because of some degree of bone dysplasia, usually being occipital. [scielo.br]

[…] anomalies Epidemiology Incidence : Type I Chiari malformation is the most common anomaly; 1 in 1,000 live births Sex: ♀ > ♂ Associations Neural tube defects (esp. meningomyelocele ) Syringomyelia Hydrocephalus Klippel-Feil syndrome Basilar invagination Pathophysiology [amboss.com]

The pathophysiology of arthritic changes associated with Paget disease is unknown. Enlargement of joints and altered biomechanics may cause abnormal stress across joints, giving rise to degenerative changes. [emedicine.medscape.com]

Prevention

[…] in which the odontoid process abnormally prolapses upward through the foramen magnum)2 in OI results from abnormally soft bone at the cranio-cervical junction and the odontoid process protruding through the foramen magnum.3 Appropriate screening may prevent [n.neurology.org]

Surgery is often indicated to prevent or treat neurological symptoms. [amboss.com]

[…] bone metabolic and functional impairments in children with cerebral palsy - preliminary results 137 Raluca Oana Munteanu, Emilia Rusu, Diana Simona Stefan and Gabriela Radulian Nutrition, physical activity and lifestyle factors in childhood obesity prevention [acad.ro]

To prevent the syrinx from expanding and harming your spinal cord, your doctor may perform surgery to remove the syrinx, though observation is a common treatment as well. [spineuniverse.com]

SECURITY The law establishes an obligation to adopt security measures to prevent the unauthorized access to the computer database containing personal data or damage to the integrity or quality of the data. [institutchiaribcn.com]

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