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Nagy L, Ray C. Spontaneously improving occipitocondylar hyperplasia: a case report. J Neurol Surg Rep. 2014;75(1):e141-3doi: 10.1055/s-0034-1376426.
Nagy, L., & Ray, C. (2014). Spontaneously improving occipitocondylar hyperplasia: a case report. Journal of neurological surgery reports, 75(1), e141-3. https://doi.org/10.1055/s-0034-1376426
Nagy, Laszlo, and Ray, Coby. "Spontaneously improving occipitocondylar hyperplasia: a case report." Journal of neurological surgery reports vol. 75,1 (2014): e141-3. doi: https://doi.org/10.1055/s-0034-1376426
Nagy L, Ray C. Spontaneously improving occipitocondylar hyperplasia: a case report. J Neurol Surg Rep. 2014 Aug;75(1):e141-3. doi: 10.1055/s-0034-1376426. Epub 2014 May 28. PMID: 25083374; PMCID: PMC4110150.
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J Neurol Surg Rep. 2014 Aug;75(1):e141-3. doi: 10.1055/s-0034-1376426. Epub 2014 May 28.

Spontaneously improving occipitocondylar hyperplasia: a case report.

Journal of neurological surgery reports

Laszlo Nagy, Coby Ray

Affiliations

  1. Department of Pediatric Neurosurgery, Texas Tech University Health Sciences Center, Lubbock, Texas, United States.
  2. School of Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas, United States.

PMID: 25083374 PMCID: PMC4110150 DOI: 10.1055/s-0034-1376426

Abstract

This case report presents a pediatric patient with the extremely rare craniovertebral junction anomaly of occipitocondylar hyperplasia. This 4-year old boy presented with macrocephaly and mild to moderate pontomedullary compression from the unilateral occipitocondylar hyperplasia. Based on the asymptomatic clinical presentation, it was decided to follow the patient with serial magnetic resonance images without surgical intervention. Upon further imaging the occipitocondylar hyperplasia spontaneously resolved. This case report offers watchful waiting as an alternative treatment approach to surgical intervention as was reported in the literature previously. Possible pathophysiologic mechanisms are also briefly explored.

Keywords: hyperplasia; occipital condyle; occipitocondylar; skull base

References

  1. J Neurosurg Spine. 2004 Sep;1(2):188-97 - PubMed
  2. J Neurosurg. 2005 Oct;103(4 Suppl):379-81 - PubMed

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