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Peer-reviewedCC BYCureus

A Unique Case of Odontoid Metastasis Reveals Nasopharynx Carcinoma: Case Management With the Posterolateral Epidural Supra-C2-Root Approach (PESCA) Technique in Open Surgery

  • Mehfoud Ibrahim1
  • Mohamed Khoulali1
  • Mohamed Dahamou1
  • Nadir Miry2
  • Faycal Moufid1
  1. 1Department of Neurosurgery, Mohammed VI University Hospital of Oujda, Faculty of Medicine and Pharmacy of Oujda, Mohammed First University Oujda, Oujda, MAR
  2. 2Department of Histopathology, Mohammed VI University Hospital of Oujda, Faculty of Medicine and Pharmacy of Oujda, Mohammed First University Oujda, Oujda, MAR
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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.

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Cite

BibTeXRIS
BibTeX
@article{ibrahim2026unique,
  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}},
  author = {Mehfoud Ibrahim and Mohamed Khoulali and Mohamed Dahamou and Nadir Miry and Faycal Moufid},
  journal = {Cureus},
  year = {2026},
  month = sep,
  doi = {10.7759/cureus.117248},
  url = {https://europepmc.org/article/PMC/PMC13722473},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - A Unique Case of Odontoid Metastasis Reveals Nasopharynx Carcinoma: Case Management With the Posterolateral Epidural Supra-C2-Root Approach (PESCA) Technique in Open Surgery
AU  - Mehfoud Ibrahim
AU  - Mohamed Khoulali
AU  - Mohamed Dahamou
AU  - Nadir Miry
AU  - Faycal Moufid
PY  - 2026
DA  - 2026/09/30
JO  - Cureus
DO  - 10.7759/cureus.117248
UR  - https://europepmc.org/article/PMC/PMC13722473
AB  - 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.
SN  - 2168-8184
ER  -