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Journal of Neurology and Neurorehabilitation Research | Volume 3
November 26-27, 2018 | Dubai, UAE
Spine and Spine Disorders
Addiction Research and Therapy
3rd International Conference on
International Conference on
Joint Event
&
An unusual outcome of occipital cervical dislocation: Case Report
Malini Narayanan
National Neurosurgery Solutions, USA
T
he University of Maryland Prince George Hospital is the
second busiest trauma center in the state of Maryland.
Here, an unusual outcome of occipital cervical dislocation is
presented with 1 year follow up. Pt is a 31y/o RH female s/p
MVC accident and arrived with a GCS=3T. After resuscitation,
improved GCS 2/T/3=6T with profound quadriparesis. MRI of
c-spine showed Cranio-cervical dissociation with rupture of the
transverse, the anterior and the posterior longitudinal and the
interspinous ligaments. Large prevertebral hematoma at the
Cranio-cervical junction and epidural hematoma in the cervical
spinal canal both along the anterior and posterior aspects
of the thecal sac with no significant anteroposterior cord
compression.cord contusions involving the spinal cord at the
Craniocervical junction. CT cspine the entire C1 vertebral body
demonstrates superior displacement with respect to C2 by over
10 mm compatible with significant disruption of the paraspinal
ligaments. Brain imaging revealed a fair amount of diffuse
subarachnoid hemorrhage. Pt was taken urgently to OR for an
occiput-c3 posterior fusion. After a very long recovery, Pt made
a surprising recovery with GCS=15 and neurologically intact.
Speaker Biography
Malini Narayanan is a Harvard-trained board-certified neurosurgeon who practices
in the Washington D.C. Maryland area. She is the recipient of the following awards:
2018 Top Doctor, 2017 America’s top Surgeon, 2015 Washingtonian top Doc for Spinal
Surgery, 2013 Vitals Patient Recognition, and 2007 America’s Top Surgeon. As a practicing
neurosurgeon since 2007, her interests are cervical & lumbar spine disease, trauma, and
brain tumours of adults. In the USA, she is one of approximately 450 board-certified female
neurosurgeons in the country of approximately 6000 board-certified neurosurgeons.
She founded and directs her practice, National Neurosurgery Solutions. Over the last
twenty years, she has published numerous papers, posters and presentations at National
Neurosurgery Conferences. She is an active member of the Congress of Neurological
Surgeons, American Association of Neurological Surgeons and the Society for Minimally
Invasive Spine Surgery. Her mission statement is “Patient first through dedication to
the practice and advancement of neurosurgery”. After receiving her undergraduate
degree from University of Massachusetts (Amherst, Mass), she further continued her
education through the master’s degree program at Massachusetts Institute of Technology
(Cambridge, Ma) in Electrical Engineering working on a retinal prosthesis for patients with
Retinitis Pigmentosa. Her experience in Bioengineering spurred her interest in medicine,
completing her medical degree at the University of Chicago’s Pritzker School of Medicine
(Chicago, Ill.) in 1998. Her relentless pursuit of excellence and love for neurosurgery led
her to train in neurosurgery at the Harvard Medical School affiliated Brigham & Women’s
and Boston Children’s Hospitals. There, she earned numerous accolades including the
Congress of Neurological Surgeons Resident Research Award, 2003, where only two
women have ever been awarded the accolade in the history of the award in the last 50
years. Returning to the University of Chicago, Dr. Narayanan augmented her surgical
skills through a fellowship in paediatric neurosurgery at Comer’s Children’s Hospital
(Chicago, Ill.), where she also completed her neurosurgical residency as chief resident.
e:
drmalininarayanan@nnss.co