寰枢椎脱位伴眩晕
Atlantoaxial Dislocation Presenting with Dizziness.
摘要(中文译文)
寰枢椎脱位（AAD）或半脱位（AAS）是由寰椎与枢椎之间不稳所致的潜在危及生命的疾病。典型症状包括颈部疼痛、斜颈和神经功能缺损，但头晕与AAD/AAS相关的报道较为罕见。我们描述一名青少年女性患者，其在长时间头部屈伸活动后出现非旋转性头晕、颈部疼痛及斜颈。神经系统检查显示向右斜颈，未见眼震。颈椎影像学检查显示寰枢椎旋转性脱位并固定，CT血管造影证实双侧椎动脉通畅。颈椎牵引保守治疗无效，遂行手术复位及C1-C2固定融合术。患者术后头晕及斜颈完全缓解，无并发症发生。本基于影像的病例报告描述了一例以头晕为主要表现症状的罕见AAD病例。本病例提示，在头晕的鉴别诊断中应考虑颈椎不稳。
Abstract
Atlantoaxial dislocation (AAD) or subluxation (AAS) is a potentially life-threatening disorder caused by instability between the atlas and axis. Typical symptoms include neck pain, torticollis, and neurological deficits, but dizziness has rarely been reported in association with AAD/AAS. We describe an adolescent girl who presented with non-spinning dizziness, neck pain, and torticollis after prolonged head flexion and extension. Neurological examination showed rightward torticollis without nystagmus. Cervical spine imaging revealed atlantoaxial rotatory dislocation and fixation, while CT angiography confirmed patency of both vertebral arteries. Conservative management with cervical traction was ineffective, and surgical reduction with C1-C2 fixation and fusion was performed. The patient experienced complete resolution of dizziness and torticollis postoperatively without complications. This image-based report describes a rare case of AAD in which dizziness was the main presenting symptom. This case highlights that cervical instability should be considered in the differential diagnosis of dizziness.
如何引用
AMA
Seoyeon Kim, Ji-Soo Kim, Jin Sup Yeom, Ngoc Quyen Nguyen, Beomseok Jeon, Hyo-Jung Kim. Atlantoaxial Dislocation Presenting with Dizziness.. Diagnostics (Basel, Switzerland). 2026; doi:10.3390/diagnostics16131949.
APA
Seoyeon Kim, Ji-Soo Kim, Jin Sup Yeom, Ngoc Quyen Nguyen, Beomseok Jeon, Hyo-Jung Kim (2026). Atlantoaxial Dislocation Presenting with Dizziness.. Diagnostics (Basel, Switzerland). https://doi.org/10.3390/diagnostics16131949
GB/T 7714
Seoyeon Kim, Ji-Soo Kim, Jin Sup Yeom, Ngoc Quyen Nguyen, Beomseok Jeon, Hyo-Jung Kim. Atlantoaxial Dislocation Presenting with Dizziness.[J]. Diagnostics (Basel, Switzerland), 2026 doi:10.3390/diagnostics16131949.
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