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Dolichoodontoid in a pediatric patient.

R Shane Tubbs1, John C Wellons, W Jerry Oakes

  • 1Department of Cell Biology, University of Alabama at Birmingham, Birmingham, Ala. 35233, USA. Richard.tubbs@ccc.uac.edu

Pediatric Neurosurgery
|October 10, 2002
PubMed
Summary

A rare congenital anomaly, dolichoodontoid process (enlarged odontoid process), is detailed in a pediatric case. This finding was associated with scoliosis, Chiari I malformation, and a thoracic syrinx.

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Area of Science:

  • Orthopedics
  • Pediatric Radiology
  • Neurosurgery

Background:

  • Dolichoodontoid process is defined as hypertrophy of the apical portion of the odontoid process of the axis.
  • This rare entity has had only three previous citations in the literature.

Observation:

  • This report details the first pediatric case of a dolichoodontoid process.
  • The patient presented with scoliosis.

Findings:

  • Magnetic resonance imaging (MRI) revealed a Chiari I malformation, a small thoracic syrinx, and the dolichoodontoid process.
  • This represents a rare constellation of congenital anomalies.

Implications:

  • The diagnosis of dolichoodontoid process should be considered in pediatric patients with craniocervical anomalies.
  • This case expands the understanding of associated congenital abnormalities and their presentation.

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