Rare Case of Non-Traumatic Atlantoaxial Rotatory Fixation in an Adult
Author Information
Author(s): Muacevic Alexander, Adler John R, Kamakura Fuminori, Shimizu Shota, Shigenobu Keisuke, Yasuda Gaku, Ishigaki Yoshimasa, Goto Satoshi
Primary Institution: Fujimi-Kogen Hospital
Hypothesis
Non-traumatic atlantoaxial rotatory fixation (AARF) should be considered as a new differential diagnosis for torticollis in adults.
Conclusion
The patient with non-traumatic AARF improved significantly with conservative treatment and regained full neck mobility.
Supporting Evidence
- The patient exhibited a characteristic torticollis neck posture.
- CT revealed that the atlas was rotated to the right in relation to the axis.
- Conservative treatment led to full recovery without complications.
Takeaway
A woman had a rare neck problem that made it hard for her to move her head, but after wearing a special collar for a month, she got better.
Methodology
The patient was diagnosed using CT and MRI, and treated conservatively with a soft neck collar.
Limitations
The follow-up period was only four weeks, which may not capture long-term outcomes.
Participant Demographics
25-year-old female office worker.
Digital Object Identifier (DOI)
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