Cervical pedicular agenesis: Case report and a review of the literature

Cervical pedicular agenesis, an unusual disorder, is a rare clinical and radiological finding, which can lead to misdiagnosis, moreover in a traumatic situation. The authors report the case of a young woman with a C3 right congenital absence of the cervical pedicle. A systematic review of literature...

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Bibliographic Details
Published in:Neuro-chirurgie 2017-09, Vol.63 (4), p.323-326
Main Authors: Ferracci, F.-X., Dudoit, T., Gilard, V., Perez, A., Lucas, F.
Format: Article
Language:English
Subjects:
Adolescent
Agenesis
Cervical spine
Cervical Vertebrae - abnormalities
Cervical Vertebrae - diagnostic imaging
Diagnosis
Female
Humans
Musculoskeletal Abnormalities - diagnostic imaging
Pedicle
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Summary:Cervical pedicular agenesis, an unusual disorder, is a rare clinical and radiological finding, which can lead to misdiagnosis, moreover in a traumatic situation. The authors report the case of a young woman with a C3 right congenital absence of the cervical pedicle. A systematic review of literature found more than 70 reported cases. In patients with congenital agenesis of the cervical pedicle, the two most common levels of this congenital absence are C6 and C5. The three radiological findings were: the false appearance of an enlarged ipsilateral neural foramen due to the absent pedicle; a dysplastic, dorsally displaced ipsilateral articular pillar and lamina; and a dysplastic ipsilateral transverse process. These pedicle ageneses are a stable congenital anomaly.
ISSN:0028-3770
1773-0619
DOI:10.1016/j.neuchi.2017.04.003