Bilateral medial medullary syndrome following anterior screw fixation of type 2 odontoid fracture, a case report of two patients.

ABSTRACT:

Introduction

Medial medullary syndrome (MMS) has not been reported after anterior screw fixation of an odontoid type 2 fracture.

Case presentation

We report on two cases who suffered from an unstable type 2 odontoid fracture following a skiing and a domestic fall accident. Prior to anterior screw fixation surgery both patients presented without neurologic deficits but postoperatively developed a bilateral MMS, including an incomplete tetraparesis, impaired sensation of position and movement as well as tactile discrimination and paralysis of the tongue muscle with deviation to the paralyzed side. MRI showed a typical heart-shaped ischaemic lesion in the medial medulla bilaterally. The search for aetiologic factors was uneventful in both patients except for severe atherosclero

SUBMITTER: Zegg M 

PROVIDER: S-EPMC8604953 | biostudies-literature | 2021 Nov

REPOSITORIES: biostudies-literature