Occipitocondylar hyperplasia and syringomyelia presenting with facial pain

Onion-skin Hemifacial Dysesthesia Successfully Treated with C2-4 Anterior Cervical Decompression and Fusion: A Case Report

A 49-year-old man with cervical spondylosis at the C2–4 level presented with onion-skin hemifacial dysesthesia in addition to the right extremities. C2–4 anterior cervical decompression and fusion were performed. Onion-skin hemifacial pain disappeared after surgery. Although we cannot conclude the etiology of the pain was either referred pain or direct injury to the spinal trigeminal nucleus, cervical spondylosis at the middle cervical level has a possibility to present facial pain.

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

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.