Spastic quadriparesis due to pathological fracture of odontoid secondary to carcinoma prostate: A rare presentation
Prostate carcinoma presenting as symptomatic metastases to atlantoaxial spine is extremely rare. Spastic quadriparesis due to pathological fracture of odontoid as the only initial manifestation without symptoms of primary malignancy is rarer still. We report a 64-year-old male who presented with pro...
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doaj-fb5a64fd975e493892f22acc6bc141ef2020-11-24T21:41:00ZengWolters Kluwer Medknow PublicationsJournal of Craniovertebral Junction and Spine0974-82372017-01-018215315510.4103/0974-8237.208045Spastic quadriparesis due to pathological fracture of odontoid secondary to carcinoma prostate: A rare presentationManeet GillM N SwamyVikas MaheshwariT S LingarajuAishik MukherjeeProstate carcinoma presenting as symptomatic metastases to atlantoaxial spine is extremely rare. Spastic quadriparesis due to pathological fracture of odontoid as the only initial manifestation without symptoms of primary malignancy is rarer still. We report a 64-year-old male who presented with progressive spastic quadriparesis along with urinary retention of 3 weeks duration. Computed tomography and magnetic resonance imaging cervical spine and craniovertebral junction showed type III pathological fracture of odontoid with anterior translation of C1 with spinal cord compression. Biopsy from an enlarged prostate showed adenocarcinoma of prostate. The patient was managed conservatively from neurological aspect as he refused for any surgical intervention.http://www.jcvjs.com/article.asp?issn=0974-8237;year=2017;volume=8;issue=2;spage=153;epage=155;aulast=GillAtlantoaxial metastasiscarcinoma prostatepathological fracture odontoidquadriparesis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Maneet Gill M N Swamy Vikas Maheshwari T S Lingaraju Aishik Mukherjee |
spellingShingle |
Maneet Gill M N Swamy Vikas Maheshwari T S Lingaraju Aishik Mukherjee Spastic quadriparesis due to pathological fracture of odontoid secondary to carcinoma prostate: A rare presentation Journal of Craniovertebral Junction and Spine Atlantoaxial metastasis carcinoma prostate pathological fracture odontoid quadriparesis |
author_facet |
Maneet Gill M N Swamy Vikas Maheshwari T S Lingaraju Aishik Mukherjee |
author_sort |
Maneet Gill |
title |
Spastic quadriparesis due to pathological fracture of odontoid secondary to carcinoma prostate: A rare presentation |
title_short |
Spastic quadriparesis due to pathological fracture of odontoid secondary to carcinoma prostate: A rare presentation |
title_full |
Spastic quadriparesis due to pathological fracture of odontoid secondary to carcinoma prostate: A rare presentation |
title_fullStr |
Spastic quadriparesis due to pathological fracture of odontoid secondary to carcinoma prostate: A rare presentation |
title_full_unstemmed |
Spastic quadriparesis due to pathological fracture of odontoid secondary to carcinoma prostate: A rare presentation |
title_sort |
spastic quadriparesis due to pathological fracture of odontoid secondary to carcinoma prostate: a rare presentation |
publisher |
Wolters Kluwer Medknow Publications |
series |
Journal of Craniovertebral Junction and Spine |
issn |
0974-8237 |
publishDate |
2017-01-01 |
description |
Prostate carcinoma presenting as symptomatic metastases to atlantoaxial spine is extremely rare. Spastic quadriparesis due to pathological fracture of odontoid as the only initial manifestation without symptoms of primary malignancy is rarer still. We report a 64-year-old male who presented with progressive spastic quadriparesis along with urinary retention of 3 weeks duration. Computed tomography and magnetic resonance imaging cervical spine and craniovertebral junction showed type III pathological fracture of odontoid with anterior translation of C1 with spinal cord compression. Biopsy from an enlarged prostate showed adenocarcinoma of prostate. The patient was managed conservatively from neurological aspect as he refused for any surgical intervention. |
topic |
Atlantoaxial metastasis carcinoma prostate pathological fracture odontoid quadriparesis |
url |
http://www.jcvjs.com/article.asp?issn=0974-8237;year=2017;volume=8;issue=2;spage=153;epage=155;aulast=Gill |
work_keys_str_mv |
AT maneetgill spasticquadriparesisduetopathologicalfractureofodontoidsecondarytocarcinomaprostateararepresentation AT mnswamy spasticquadriparesisduetopathologicalfractureofodontoidsecondarytocarcinomaprostateararepresentation AT vikasmaheshwari spasticquadriparesisduetopathologicalfractureofodontoidsecondarytocarcinomaprostateararepresentation AT tslingaraju spasticquadriparesisduetopathologicalfractureofodontoidsecondarytocarcinomaprostateararepresentation AT aishikmukherjee spasticquadriparesisduetopathologicalfractureofodontoidsecondarytocarcinomaprostateararepresentation |
_version_ |
1725923785140338688 |