Magnetic resonance imaging as the primary imaging modality in children presenting with inflammatory nontraumatic atlantoaxial rotatory subluxation
- Inflammatory nontraumatic atlantoaxial rotatory subluxation (AAS) in children is an often-missed diagnosis, especially in the early stages of disease. Abscess formation and spinal cord compression are serious risks that call for immediate surgical attention. Neither radiographs nor non-enhanced computed tomography (CT) images sufficiently indicate inflammatory processes. Magnetic resonance imaging (MRI) allows a thorough evaluation of paraspinal soft tissues, joints, and ligaments. In addition, it can show evidence of vertebral distraction and spinal cord compression. After conducting a scoping review of the literature, along with scientific and practical considerations, we outlined a standardized pediatric MRI protocol for suspected inflammatory nontraumatic AAS. We recommend contrast-enhanced MRI as the primary diagnostic imaging modality in children with signs of torticollis in combination with nasopharyngeal inflammatory or ear nose and throat (ENT) surgical history.
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| Author: | Katharina Johanna Wenger-AlakmehORCiDGND, Elke HattingenORCiDGND, Luciana PortoORCiDGND |
|---|---|
| URN: | urn:nbn:de:hebis:30:3-611864 |
| DOI: | https://doi.org/10.3390/children8050329 |
| ISSN: | 2227-9067 |
| Parent Title (English): | Children |
| Publisher: | MDPI |
| Place of publication: | Basel |
| Document Type: | Article |
| Language: | English |
| Date of Publication (online): | 2021/04/23 |
| Date of first Publication: | 2021/04/23 |
| Publishing Institution: | Universitätsbibliothek Johann Christian Senckenberg |
| Release Date: | 2021/06/23 |
| Tag: | computed tomography; grisel syndrome; imaging protocol; magnetic resonance imaging; nontraumatic atlantoaxial rotatory subluxation; torticollis |
| Volume: | 8 |
| Issue: | 5, art. 329 |
| Page Number: | 8 |
| First Page: | 1 |
| Last Page: | 8 |
| HeBIS-PPN: | 484041282 |
| Institutes: | Medizin |
| Dewey Decimal Classification: | 6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit |
| Sammlungen: | Universitätspublikationen |
| Open-Access-Publikationsfonds: | Biowissenschaften |
| Licence (German): |  Creative Commons - Namensnennung 4.0 |
