Basilar impression presenting as intermittent mechanical neck pain: a rare case report

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• 作者：Firas Mourad ; Giuseppe Giovannico ; Filippo Maselli…
• 关键词：Neck pain ; Basilar impression ; Craniovertebral congenital anomalies ; Red flags ; Physiotherapy
• 刊名：BMC Musculoskeletal Disorders
• 出版年：2016
• 出版时间：December 2016
• 年：2016
• 卷：17
• 期：1
• 全文大小：732 KB
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• 作者单位：Firas Mourad (1)
  Giuseppe Giovannico (2)
  Filippo Maselli (4) (5)
  Francesca Bonetti (3)
  César Fernández de las Peñas (8)
  James Dunning (6) (7)
  
  1. Alumno de Doctorado, Escuela Internacional de Doctorado, Universidad Rey Juan Carlos, Alcorcon, Madrid, Spain
  2. Fisioterapia Terapia Manuale, Lecce, Italy
  4. DINOGMI, Genova University, Genova, Italy
  5. SSR Puglia INAIL, Bari, Italy
  3. Physioup, Rome, Italy
  8. Universidad Rey Juan Carlos, Madrid, Spain
  6. Alabama Physical Therapy & Acupuncture, Montgomery, AL, USA
  7. Nova Southeastern University, Ft. Lauderdale, FL, USA
  
• 刊物主题：Orthopedics; Rehabilitation; Rheumatology; Sports Medicine; Internal Medicine;
• 出版者：BioMed Central
• ISSN：1471-2474

文摘

Background Neck pain is one of the most common musculoskeletal disorders in clinical practice. However neck pain may mask more serious pathology. Although uncommon in most musculoskeletal physiotherapy practices, it is possible to encounter rare and extremely life-threatening conditions, such as craniovertebral congenital anomalies. Basilar invagination is an abnormality where the odontoid peg projects above the foramen magnum and is the commonest malformation of the craniocervical junction. Its prevalence in the general population is estimated to be 1 %. Furthermore, it is a well-recognised cause of neck pain insomuch as it can be easily overlooked and mistaken for a musculoskeletal disorder. Diagnosis is based on the patient’s symptoms in conjunction with magnetic resonance imaging (MRI). If life-threatening symptoms, or pressure on the spinal cord are present, the recommended treatment is typically surgical correction.