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.28.3.0262 Transoral Decompression of Atlanto-Axial Dislocation Due to Odontoid Hypoplasia Alvin D. Greenberg William B. Scoville Lycurgus M. Davey March 1968 28 3 266 269 10.3171/jns.1968.28.3.0266 Ganglioneuroblastoma of the Cerebellum F. A. Durity C. L. Dolman P. D. Moyes March 1968 28 3 270 273 10.3171/jns.1968.28.3.0270 Optic Glioma and Pituitary Adenoma in the Same Patient Frank J. Otenasek Richard J. Otenasek Jr. March 1968 28 3 274 276 10.3171/jns.1968.28.3.0274 Spontaneous Remission of an Intraventricular Hemorrhage John D. Loeser J. Timothy Stuntz William

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Alvin D. Greenberg, William B. Scoville and Lycurgus M. Davey

anterior operation, either through a transoral or a transcervical approach, has the advantage of being performed with the head in extension rather than flexion. Both of our cases required fusion at a second procedure. Transoral fusion of the atlanto-occipital articulation has been reported. 3 We are currently trying to work out a technique that will make this feasible as part of the primary operation. Summary We have reported two cases of atlanto-axial dislocation due to odontoid hypoplasia which were successfully treated by transoral decompression. We have

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Abbott J. Krieger, Hubert L. Rosomoff, Abraham S. Kuperman and Lawrence H. Zingesser

. Pathology, pathogenesis and clinical correlation. Brain , 1965, 88: 897–924. 5. Greenberg , A. D. , Scoville , W. B. , and Davey , L. M. Transoral decompression of atlanto-axial dislocation due to odontoid hypoplasia: report of two cases. J. Neurosurg. , 1968 , 28 : 266 – 269 . Greenberg , A. D., Scoville , W. B., and Davey , L. M. Transoral decompression of atlanto-axial dislocation due to odontoid hypoplasia: report of two cases. J. Neurosurg. , 1968, 28: 266–269. 6. Heinz , E. R. , Schlesinger , E. B

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Chikao Nagashima

. Fromm , G. H. , and Pitner , S. E. Late progressive quadriparesis due to odontoid agenesis. Archs Neurol., Chicago , 1963 , 9 : 291 – 296 . Fromm , G. H., and Pitner , S. E. Late progressive quadriparesis due to odontoid agenesis. Archs Neurol., Chicago , 1963, 9: 291–296. 10. Greenberg , A. D. , Scoville , W. B. , and Davey , L. M. Transoral decompression of atlantoaxial dislocation due to odontoid hypoplasia. Report of two cases. J. Neurosurg. , 1968 , 28 : 266 – 269 . Greenberg , A. D

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.37.4.0479 Granular cell myoblastoma of the pituitary S. Satyamurti M.D. Howard W. Huntington M.D. October 1972 37 4 483 486 10.3171/jns.1972.37.4.0483 Evolution and significance of giant parietal foramina Jack M. Fein M.D. Ray A. Brinker M.D. October 1972 37 4 487 492 10.3171/jns.1972.37.4.0487 Transoral decompression for myelopathy caused by rheumatoid arthritis of the cervical spine Michael H. Sukoff M.D. Milton M. Kadin M.D. Terrance Moran M.D. October 1972 37 4 493 497 10.3171/jns.1972.37.4.0493 Carotid

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Michael H. Sukoff, Milton M. Kadin and Terrance Moran

A tlantoaxial instability is a complication of rheumatoid arthritis affecting the cervical spine. 15, 17, 20, 29 Previous reports have dealt in detail with the pathogenesis, 17, 19, 20, 24 neurological complications, 17, 24 and therapy. 6, 16, 20, 25 We are reporting a patient with chronic rheumatoid arthritis who developed cervical myelopathy that initially responded to posterior decompression but subsequently required transoral decompression of rheumatoid connective tissue and a posteriorly displaced dens. Case Report This 29-year-old woman had a

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Chikao Nagashima

-axial dislocations. Brain 91: 655–684, 1968 7. Greenberg AD , Scoville WB , Davey LM : Transoral decompression of atlantoaxial dislocation due to odontoid hypoplasia: report of two cases. J Neurosurg 28 : 266 – 269 , 1968 Greenberg AD, Scoville WB, Davey LM: Transoral decompression of atlantoaxial dislocation due to odontoid hypoplasia: report of two cases. J Neurosurg 28: 266–269, 1968 8. List CF : Neurologic syndromes accompanying developmental anomalies of occipital bone, atlas and axis. Arch Neurol

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John L. Fox and Alvaro Jerez

dislocated anterior arch of C-1. This technique of approach to the C-1/C-2 region for decompression with or without fusion now is well documented. 2–5, 7–13 One of the largest series done for atlanto-axial dislocation is that of Toczek, 12 who now has 11 cases of transoral decompression and fusion (two were fused posteriorly after anterior decompression). The similar decompression in our case allowed for greater safety during the subsequent posterior cervical stabilization. References 1. Bailey RW : The Cervical Spine . Philadelphia : Lea

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Chikao Nagashima, Takahi Iwasaki, Keiichi Okada and Arata Sakaguchi

. J Neurosurg 35: 112–114, 1971 3. Dunn EJ : The role of methyl methacrylate in stabilization and replacement of the cervical spine. Spine 2 : 15 – 24 , 1977 Dunn EJ: The role of methyl methacrylate in stabilization and replacement of the cervical spine. Spine 2: 15–24, 1977 4. Greenberg AD , Scoville WB , Davey LM : Transoral decompression of atlanto-axial dislocation due to odontoid hypoplasia. Report of two cases. J Neurosurg 28 : 266 – 269 , 1968 Greenberg AD, Scoville WB

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Francis W. Gamache Jr. and Rand M. Voorhies

gastrostomy; 9, 19, 29 however, the procedure of choice appears to be surgical excision of the offending osteophytic masses. Surgical excision is most easily accomplished through an anterior cervical discectomy approach, as described by Iglauer in 1938, 23 and then again by Patterson and Byerly 33 and Smith and Robinson, 47 both in 1958. Lesions at C1–2 frequently require a transoral decompression. 40 More recent descriptions of the operative techniques may be found in the reports of Bone, et al. , 8 and Saffouri and Ward. 40 The major risk of the anterior cervical