Natural History, Neuroradiological Workup, and Management Options of Chronic Atlantoaxial Rotatory Fixation Caused by Drug-Induced Cervical Dystonia
Atlantoaxial rotatory fixation (AARF) resulting from drug-induced cervical dystonia (DICD) represents an extremely rare complication of antipsychotic treatment, requiring a comprehensive assessment of pharmacologic therapy and timely radiologic workup. We report a chronic case of Fielding type I, Pa...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2021/6683268 |
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| author | Yuki Ishikawa So Kato Mario Ganau Shima Hirai Yasushi Oshima Sakae Tanaka |
| author_facet | Yuki Ishikawa So Kato Mario Ganau Shima Hirai Yasushi Oshima Sakae Tanaka |
| author_sort | Yuki Ishikawa |
| collection | DOAJ |
| description | Atlantoaxial rotatory fixation (AARF) resulting from drug-induced cervical dystonia (DICD) represents an extremely rare complication of antipsychotic treatment, requiring a comprehensive assessment of pharmacologic therapy and timely radiologic workup. We report a chronic case of Fielding type I, Pang type I AARF secondary to schizophrenia treatment in a 16-year-old girl, along with a review of the literature on the management challenges posed in this condition. In this scenario, torticollis may just represent the tip of the iceberg, and only an effective multidisciplinary approach increases the chances of satisfactory correction with closed reduction, hence avoiding the burden of more invasive treatment options. |
| format | Article |
| id | doaj-art-1503bb56f4744fa386ea36e417cd9bdf |
| institution | OA Journals |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-1503bb56f4744fa386ea36e417cd9bdf2025-08-20T02:02:01ZengWileyCase Reports in Orthopedics2090-67492090-67572021-01-01202110.1155/2021/66832686683268Natural History, Neuroradiological Workup, and Management Options of Chronic Atlantoaxial Rotatory Fixation Caused by Drug-Induced Cervical DystoniaYuki Ishikawa0So Kato1Mario Ganau2Shima Hirai3Yasushi Oshima4Sakae Tanaka5Department of Orthopaedic Surgery, The University of Tokyo, 113-8655, 7-3-1, Hongo, Bunkyo-ku, Tokyo, JapanDepartment of Orthopaedic Surgery, The University of Tokyo, 113-8655, 7-3-1, Hongo, Bunkyo-ku, Tokyo, JapanDepartment of Neurosurgery, Oxford University Hospitals NHS Foundation Trust, Oxford, UKDepartment of Orthopaedic Surgery, The University of Tokyo, 113-8655, 7-3-1, Hongo, Bunkyo-ku, Tokyo, JapanDepartment of Orthopaedic Surgery, The University of Tokyo, 113-8655, 7-3-1, Hongo, Bunkyo-ku, Tokyo, JapanDepartment of Orthopaedic Surgery, The University of Tokyo, 113-8655, 7-3-1, Hongo, Bunkyo-ku, Tokyo, JapanAtlantoaxial rotatory fixation (AARF) resulting from drug-induced cervical dystonia (DICD) represents an extremely rare complication of antipsychotic treatment, requiring a comprehensive assessment of pharmacologic therapy and timely radiologic workup. We report a chronic case of Fielding type I, Pang type I AARF secondary to schizophrenia treatment in a 16-year-old girl, along with a review of the literature on the management challenges posed in this condition. In this scenario, torticollis may just represent the tip of the iceberg, and only an effective multidisciplinary approach increases the chances of satisfactory correction with closed reduction, hence avoiding the burden of more invasive treatment options.http://dx.doi.org/10.1155/2021/6683268 |
| spellingShingle | Yuki Ishikawa So Kato Mario Ganau Shima Hirai Yasushi Oshima Sakae Tanaka Natural History, Neuroradiological Workup, and Management Options of Chronic Atlantoaxial Rotatory Fixation Caused by Drug-Induced Cervical Dystonia Case Reports in Orthopedics |
| title | Natural History, Neuroradiological Workup, and Management Options of Chronic Atlantoaxial Rotatory Fixation Caused by Drug-Induced Cervical Dystonia |
| title_full | Natural History, Neuroradiological Workup, and Management Options of Chronic Atlantoaxial Rotatory Fixation Caused by Drug-Induced Cervical Dystonia |
| title_fullStr | Natural History, Neuroradiological Workup, and Management Options of Chronic Atlantoaxial Rotatory Fixation Caused by Drug-Induced Cervical Dystonia |
| title_full_unstemmed | Natural History, Neuroradiological Workup, and Management Options of Chronic Atlantoaxial Rotatory Fixation Caused by Drug-Induced Cervical Dystonia |
| title_short | Natural History, Neuroradiological Workup, and Management Options of Chronic Atlantoaxial Rotatory Fixation Caused by Drug-Induced Cervical Dystonia |
| title_sort | natural history neuroradiological workup and management options of chronic atlantoaxial rotatory fixation caused by drug induced cervical dystonia |
| url | http://dx.doi.org/10.1155/2021/6683268 |
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