Complete Recovery Chronic Retro-Odontoid Pseudotumor Et HNP with Laminectomy and Cervical Disc Replacement

I. Nyoman Semita, Yuna Annisa Salsabila, Ni Njoman Juliasih


A rare case found, 54-year-old male patient was experiencing pain in his neck since 20 years ago and had been gradually worsening with weakness of upper and lower extremity. Magnetic resonance images and cervical spine plain photo showed a retro-odontoid pseudotumor and HNP. This lesion behaves as a tumor-like lesion that causes inflammation. HNP cervical related with CX3CL1/CX3CR1 interaction in Rheumatoid Arthritis (RA). The paper aims to report a rare case of a patient with complete recovery chronic retro-odontoid pseudotumor C1 and hernia nucleus pulposus C3-4 C4-5 C6-7. The patient was treated with a two-phase procedure: laminectomy and cervical disc replacement. The patient had paresis and tingling in the upper and lower extremities for the past three months with radiating neck pain for 20 years after the two-phase operation. The patient completely recovered after underwent two phases of procedure and 2-years follow-up evaluation. Chronic retro odontoid pseudotumor C1 et hernia nucleus pulposus C3-4 C4-5 C6-7 can recover completely with laminectomy and cervical disc replacement without symptoms or complaint after two years. HNP cervical can relate to rheumatoid arthritis that causes retro odontoid pseudotumor in this case.

Keywords: hernia nucleus pulposus, retro-odontoid pseudotumor, rheumatoid arthritis.

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