PMID- 29855530 OWN - NLM STAT- MEDLINE DCOM- 20191008 LR - 20191008 IS - 2045-2322 (Electronic) IS - 2045-2322 (Linking) VI - 8 IP - 1 DP - 2018 May 31 TI - Diagnosis of atlanto-occipital dissociation: Standardised measurements of normal craniocervical relationship in finless porpoises (genus Neophocaena) using postmortem computed tomography. PG - 8474 LID - 10.1038/s41598-018-26866-8 [doi] LID - 8474 AB - Due to the different craniocervical structures in humans and cetaceans, a standardised method assessing the normal craniocervical relationship in cetaceans is lacking, causing difficulties in defining the presence of atlanto-occipital dissociation (AOD) in cetaceans. The present study aimed to 1) describe a novel standardised method of determining the normal craniocervical relationships, and 2) define the 95% accuracy range of the normal craniocervical relationship in finless porpoises (genus Neophocaena), that allowed AOD diagnosis. Fifty-five out 83 stranded or by-caught finless porpoise carcasses were analyzed in term of their craniocervical relationship in dorsal-ventral and medial-lateral dimension, using postmortem computed tomography measurements. The normal craniocervical relationship in both dorsal-ventral (mean BD/OV: 0.87 +/- 0.24 [2 SD]) and medial-lateral dimension (mean VR/VL: 0.98 +/- 0.17 [2 SD]) was first defined. The 95% accuracy ranges of the normal craniocervical relationship in dorsal-ventral (0.63-1.11) and medial-lateral dimension (0.82-1.15) were proposed. The baseline ranges could facilitate AOD assessment, and provide an objective means of record for AOD related injury and death of cetaceans caused by anthropogenic trauma. The technique developed may be applied to live cetaceans with abnormal craniocervical relationship to aid diagnosis and guide corrective therapy. FAU - Kot, Brian C W AU - Kot BCW AUID- ORCID: 0000-0002-8932-1884 AD - School of Medical and Health Sciences, Tung Wah College, Homantin, Kowloon, Hong Kong SAR, China. briankot@yahoo.co.uk. AD - Department of Applied Biology and Chemical Technology, The Hong Kong Polytechnic University, Hunghom, Kowloon, Hong Kong SAR, China. briankot@yahoo.co.uk. FAU - Chan, Derek K P AU - Chan DKP AD - School of Medical and Health Sciences, Tung Wah College, Homantin, Kowloon, Hong Kong SAR, China. FAU - Yuen, Adams H L AU - Yuen AHL AD - School of Medical and Health Sciences, Tung Wah College, Homantin, Kowloon, Hong Kong SAR, China. FAU - Tsui, Henry C L AU - Tsui HCL AD - Office of the Vice-President (Development and External Relations), City University of Hong Kong, Kowloon, Hong Kong SAR, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20180531 PL - England TA - Sci Rep JT - Scientific reports JID - 101563288 SB - IM MH - Animals MH - Atlanto-Occipital Joint/diagnostic imaging/injuries/*physiology MH - Female MH - Joint Dislocations/*diagnosis MH - Male MH - Porpoises MH - *Tomography, X-Ray Computed PMC - PMC5981431 COIS- The authors declare no competing interests. EDAT- 2018/06/02 06:00 MHDA- 2019/10/09 06:00 PMCR- 2018/05/31 CRDT- 2018/06/02 06:00 PHST- 2018/01/06 00:00 [received] PHST- 2018/05/21 00:00 [accepted] PHST- 2018/06/02 06:00 [entrez] PHST- 2018/06/02 06:00 [pubmed] PHST- 2019/10/09 06:00 [medline] PHST- 2018/05/31 00:00 [pmc-release] AID - 10.1038/s41598-018-26866-8 [pii] AID - 26866 [pii] AID - 10.1038/s41598-018-26866-8 [doi] PST - epublish SO - Sci Rep. 2018 May 31;8(1):8474. doi: 10.1038/s41598-018-26866-8.