{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,31]],"date-time":"2025-08-31T10:15:56Z","timestamp":1756635356114},"reference-count":6,"publisher":"Cambridge University Press (CUP)","issue":"7","license":[{"start":{"date-parts":[[2009,12,11]],"date-time":"2009-12-11T00:00:00Z","timestamp":1260489600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2010,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215109992271_sec1\"><jats:title>Background:<\/jats:title><jats:p>Tuberculosis can cause extensive osseo-ligamentous destruction at the cranio-vertebral junction, leading to atlanto-axial instability and compression of vital cervico-medullary centres. This may manifest as quadriparesis, bulbar dysfunction and respiratory insufficiency.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215109992271_sec2\"><jats:title>Aim:<\/jats:title><jats:p>We report two patients presenting with spinal stenosis and cord compression secondary to cranio-vertebral tuberculosis, who were successfully decompressed via an endoscopic, endonasal approach.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215109992271_sec3\"><jats:title>Study design:<\/jats:title><jats:p>Two case reports.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215109992271_sec4\"><jats:title>Methods and results:<\/jats:title><jats:p>Both patients were successfully decompressed via an endoscopic, endonasal approach which provided access to the cranio-vertebral junction and upper cervical spine.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215109992271_sec5\"><jats:title>Conclusion:<\/jats:title><jats:p>An endoscopic, endonasal approach is feasible for the surgical management of cranio-vertebral junction stenosis; such an approach minimises surgical trauma to critical structures, reducing post-operative morbidity and the duration of hospital stay.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215109992271","type":"journal-article","created":{"date-parts":[[2009,12,11]],"date-time":"2009-12-11T11:41:44Z","timestamp":1260531704000},"page":"816-819","source":"Crossref","is-referenced-by-count":5,"title":["Endoscopic, endonasal decompression of spinal stenosis with myelopathy secondary to cranio-vertebral tuberculosis: two cases"],"prefix":"10.1017","volume":"124","author":[{"given":"P","family":"Puraviappan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I P","family":"Tang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D J","family":"Yong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N","family":"Prepageran","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R L","family":"Carrau","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A B","family":"Kassam","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2009,12,11]]},"reference":[{"key":"S0022215109992271_ref2","first-page":"E213","article-title":"The expanded endonasal approach: a fully endoscopic transnasal approach and resection of the odontoid process: technical case report","volume":"57","author":"Kassam","year":"2005","journal-title":"Neurosurgery"},{"key":"S0022215109992271_ref6","doi-asserted-by":"publisher","DOI":"10.3171\/spi.2007.6.2.184"},{"key":"S0022215109992271_ref4","doi-asserted-by":"publisher","DOI":"10.1007\/s007010200029"},{"key":"S0022215109992271_ref3","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1097\/00003086-198407000-00018","article-title":"Transoral atlantoaxial anterior decompression and fusion","volume":"187","author":"Sakou","year":"1984","journal-title":"Clin Orthop Relat Res"},{"key":"S0022215109992271_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(95)70074-9"},{"key":"S0022215109992271_ref1","first-page":"72","article-title":"Craniocervical tuberculosis: protocol of surgical management","volume":"52","author":"Behari","year":"2003","journal-title":"Neurosurgery"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215109992271","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,18]],"date-time":"2024-03-18T04:52:46Z","timestamp":1710737566000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215109992271\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,12,11]]},"references-count":6,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2010,7]]}},"alternative-id":["S0022215109992271"],"URL":"https:\/\/doi.org\/10.1017\/s0022215109992271","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,12,11]]}}}