Spanish 
Chinese 
Russian 
German 
French 
Japanese 
Portuguese 
Hindi Case Report
Incidental Finding of Cervical Vertebrae Anomaly Yields to an Undiagnosed Case of Crouzon Syndrome
Karan Nehra1*, B Jayan1, Shiv Shankar Agarwal2 and Mukul Bhatia3
1Department of Orthodontics & Dentofacial Orthopedics Army Dental Centre (Research & Referral) Subroto Park, Delhi Cantt, New Delhi, 110010, India
2Department of Orthodontics and Dentofacial Orthopaedics) Indian Army Dental Corps, India
3Department of Radiodiagnosis & Imaging Armed Forces Medical College, Pune, Maharashtra, India
- *Corresponding Author:
- Nehra K
Department of Orthodontics & Dentofacial Orthopedics Army Dental Centre (Research & Referral) Subroto Park
Delhi Cantt, New Delhi, 110010, India
Tel: +91 9560159623
E-mail: krnnehra@yahoo.co.in
Received date: August 31, 2016; Accepted date: September 24, 2016; Published date: September 29, 2016
Citation: Nehra K, Jayan B, Agarwal SS, Bhatia M (2016) Incidental Finding of Cervical Vertebrae Anomaly Yields to an Undiagnosed Case of Crouzon Syndrome. Cosmetol & Oro Facial Surg 2:109.
Copyright: © 2016 Nehra K, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
Crouzon syndrome is an autosomal dominant, rare genetic disorder often demonstrating complete penetrance and variable expressivity. It is frequently associated with cervical vertebrae abnormalities which often remain undetected. This article reports the case of an incidental finding of cervical vertebral anomaly of atlanto-occipital assimilation in an 8.5 year old boy who reported with chief complaint of inability to eat food properly, midfacial hypoplasia and class III malocclusion. When investigated thoroughly the case was identified as an undiagnosed case of Crouzon syndrome with Arnold Chiari Type I malformation with syringomyelia and asymmetry of atlantooccipital joint. The patient’s neurological examination revealed early signs of quadriparesis and was immediately taken up for posterior cranial fossa decompression surgery. It becomes extremely imperative for an orthodontist to know the cervical vertebral anatomy and associated anomalies and to seek an appropriate referral, as he may be the first to intercept them. Further investigation are mandatory for any underlying associated disorder, as these findings can be of great importance for patients in whom these anomalies assume clinical significance necessitating early/immediate management or lifestyle changes to prevent or delay aggravation of the pathology.
