{
  "abstract": "We present a unique case of a 21-year-old boy diagnosed with an unstable odontoid due to cavum metastasis revealed by cervicalgia and hyperextension cervical spine deformity. There were three main problems in this case: odontoid instability, the correction of cervico-occipital deformity, and histological proof. The posterior approach with the posterolateral epidural supra-C2-root approach (PESCA) resolved the situation with great improvement. This challenging finding was unusual, and in such a situation, a large review of the literature was made to make the right choice for the patient to prevent major neurological deficits and even death.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Neurosurgery, Mohammed VI University Hospital of Oujda, Faculty of Medicine and Pharmacy of Oujda, Mohammed First University Oujda, Oujda, MAR",
    "Department of Histopathology, Mohammed VI University Hospital of Oujda, Faculty of Medicine and Pharmacy of Oujda, Mohammed First University Oujda, Oujda, MAR"
  ],
  "article_type": "case report",
  "arxiv": null,
  "author_total": 5,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Mehfoud Ibrahim"
    },
    {
      "affs": [
        0
      ],
      "name": "Mohamed Khoulali"
    },
    {
      "affs": [
        0
      ],
      "name": "Mohamed Dahamou"
    },
    {
      "affs": [
        1
      ],
      "name": "Nadir Miry"
    },
    {
      "affs": [
        0
      ],
      "name": "Faycal Moufid"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/3dfvnc4w68qbn.bib",
  "cited_by": 0,
  "doi": "10.7759/cureus.117248",
  "fulltext_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13722473/?tool=EBI",
  "id": "3dfvnc4w68qbn",
  "issns": [
    "2168-8184"
  ],
  "landing_url": "https://europepmc.org/article/PMC/PMC13722473",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Neurosurgery"
    ],
    [
      "heading",
      "Otolaryngology"
    ],
    [
      "heading",
      "Radiology"
    ],
    [
      "openalex",
      "2746|Management of metastatic bone disease"
    ]
  ],
  "openalex": "W7214951145",
  "pdf_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13722473/pdf/?tool=EBI",
  "pmcid": "PMC13722473",
  "pmid": "42965249",
  "published": "2026-09-30",
  "publisher": "Cureus Inc.",
  "ris": "https://research.draconitic.com/paper/3dfvnc4w68qbn.ris",
  "sources": [
    {
      "first_seen": "2026-10-31T12:21:36Z",
      "native_id": "PMC:PMC13722473",
      "source": "europepmc",
      "url": "https://europepmc.org/article/PMC/PMC13722473"
    },
    {
      "first_seen": "2026-11-03T12:22:58Z",
      "native_id": "PMC13722473",
      "source": "pmc",
      "url": "https://doi.org/10.7759/cureus.117248"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "heading:Radiology",
      "subfield": "imaging"
    }
  ],
  "title": "A Unique Case of Odontoid Metastasis Reveals Nasopharynx Carcinoma: Case Management With the Posterolateral Epidural Supra-C2-Root Approach (PESCA) Technique in Open Surgery",
  "title_text": "A Unique Case of Odontoid Metastasis Reveals Nasopharynx Carcinoma: Case Management With the Posterolateral Epidural Supra-C2-Root Approach (PESCA) Technique in Open Surgery",
  "type": "peer-reviewed",
  "updated_at": "2026-11-03T12:22:58Z",
  "url": "https://research.draconitic.com/paper/3dfvnc4w68qbn",
  "venue": "Cureus",
  "versions": []
}