Forestier's disease associated with a retro-odontoid mass causing cervicomedullary compression

Naresh P. Patel, J. Patrick Johnson, William W. Choi, Neill M. Wright

Research output: Contribution to journalArticle

Abstract

Introduction: Forestier's Disease (FD) is a progressive skeletal disorder characterized by massive anterior longitudinal ligament calcification forming a bridge on the anterior border of the thoracic and subaxial cervical spine. To our knowledge, retro-odontoid masses associated with FD have not been described. Methods: Five patients with FD were treated for retroodontoid masses and cervicomedullary compression. All patients had progressive neurological symptoms due to ventral compression of the cervicomedullary junction. Results: Four patients underwent combined transoral resection of the ligamentous mass followed by an occipitocervical fusion procedure. One patient with circumferential cervicomedullary compression underwent a posterior decompression and occipitocervical fusion. Follow-up ranged from 4 to 19 months and 4 patients had variable neurological improvement. One patient died 3 weeks post-surgery due to pulmonary complications. Conclusions: This previously undescribed entity should be considered for patients with FD presenting with progressive quadriparesis. Transoral decompression followed by posterior fusion is typically warranted.

Original languageEnglish (US)
Number of pages1
JournalSkull Base
Volume11
Issue numberSUPPL. 1
StatePublished - Jan 1 2001

ASJC Scopus subject areas

  • Clinical Neurology

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    Patel, N. P., Patrick Johnson, J., Choi, W. W., & Wright, N. M. (2001). Forestier's disease associated with a retro-odontoid mass causing cervicomedullary compression. Skull Base, 11(SUPPL. 1).