Document Detail


Atlantoaxial dislocation presenting as sudden onset of quadriplegia in Down's syndrome.
MedLine Citation:
PMID:  2969628     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A sudden onset of quadriplegia and dyspnea occurred in a 4-year-old girl with Down's syndrome, who had been noted to have atlantoaxial dislocation. She underwent cervical immobilization initially with a halo-vest and subsequently by posterior fusion, resulting in significant functional recovery. The catastrophic myelopathy that occurred in this patient emphasizes the necessity of treatment even for asymptomatic atlantoaxial instability in some individuals with Down's syndrome.
Authors:
N Aoki
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Surgical neurology     Volume:  30     ISSN:  0090-3019     ISO Abbreviation:  Surg Neurol     Publication Date:  1988 Aug 
Date Detail:
Created Date:  1988-08-31     Completed Date:  1988-08-31     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0367070     Medline TA:  Surg Neurol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  153-5     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, Tokyo Metropolitan Fuchu Hospital, Japan.
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MeSH Terms
Descriptor/Qualifier:
Atlanto-Axial Joint / injuries*,  radiography
Child, Preschool
Combined Modality Therapy
Dislocations / complications*,  diagnosis,  pathology,  therapy
Down Syndrome / complications*
Dyspnea / etiology,  therapy
Female
Humans
Quadriplegia / etiology*,  therapy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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