Title: Quad Fever as a Rare Presentation of Os Odontoideum- A Case Report

Authors: Dr Syed Haider Mehdi Husaini, Dr Saifullah Khalid, Dr S. M. Kamil Ashraf

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i1.64

Abstract

Os odontoideum is a rare craniovertebral anomaly of the second cervical vertebra presenting with restricted neck movements, neck pain, brainstem dysfunction, cranial nerves involvement, even myelopathic weakness of limbs. Fever with quadriparesis is not one of its presentations. We are reporting a case of a 15yr old male patient who presented with fever and quadriparesis. He was diagnosed on MRI to have Os odontoideum. Fever in this case played the role of a red herring. During the course of hospital stay, he developed hypoventilation syndrome; he was placed on ventilatory support and subsequently succumbed to ventilator associated pneumonia.

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Corresponding Author

Dr Syed Haider Mehdi Husaini