Abstract

Similar to low back pain, patho-anatomical causes are not identifiable in the majority of patients who suffer from neck pain [7]. [...]once serious medical pathology has been ruled out, patients with neck pain are often classified by physiotherapists as having either neck pain with mobility deficits, neck pain with headaches, neck pain with movement coordination impairments, or neck pain with radiating pain [6]. [...]when preoperative dynamic neuroradiological examinations demonstrate that the cranio-vertebral junction compression is "reducible" during neck extension, neural decompression is suggested by the transoral or transnasal route in order to reduce the disclocation [18, 19]. Upper extremity reflexes were found to be bilaterally present and symmetrical.\n Any suspicion led to the physical therapist contacting the referring physician to suggest the need for additional diagnostic imaging studies that lead to the best therapeutic treatment and prognosis for those patients at risk of serious pathologies. [...]a better understanding of the pathophysiology of this complex anatomical junction leads to a better understanding of the surgical management also [33].

Details

Title
Basilar impression presenting as intermittent mechanical neck pain: a rare case report
Author
Mourad, Firas; Giovannico, Giuseppe; Maselli, Filippo; Bonetti, Francesca; Cesar Fernandez de las Penas; Dunning, James
Publication year
2016
Publication date
2016
Publisher
BioMed Central
e-ISSN
14712474
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
1773779034
Copyright
Copyright BioMed Central 2016