| A case of congenital kyphosis misdiagnosed as cerebral palsy. | |
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MedLine Citation:
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PMID: 17551740 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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INTRODUCTION: Congenital kyphosis is an uncommon spinal deformity that needs prompt recognition and early surgery due to its progressive nature, which can lead to neurological compromise. CASE REPORT: An 11-year-old boy presented with deteriorating ambulatory function after bilateral Achilles tendon lengthening and calcaneal osteotomies. He previously had a series of orthopedic surgeries of the lower extremities, having been diagnosed with spastic diplegic cerebral palsy based on clinical features and history of prematurity. His computed tomography (CT) scan and magnetic resonance imaging (MRI) revealed compressive thoracic myelopathy due to the fusion of vertebral bodies from T2 to T5. He was treated with anterior decompression and anteroposterior fusion of the thoracic spine. DISCUSSION: Neurological impairment such as spastic paraplegia in children can lead to an erroneous diagnosis of cerebral palsy, resulting in unnecessary surgeries with their attendant potential complications. This report alerts clinicians to the presentation and progression of congenital vertebral anomalies and highlights the importance of a thorough neurological examination and radiological evaluation. |
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Authors:
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Se Hee Jung; Moon Suk Bang |
Publication Detail:
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Type: Case Reports; Journal Article Date: 2007-06-06 |
Journal Detail:
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Title: Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery Volume: 23 ISSN: 0256-7040 ISO Abbreviation: Childs Nerv Syst Publication Date: 2007 Oct |
Date Detail:
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Created Date: 2007-09-07 Completed Date: 2008-02-07 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8503227 Medline TA: Childs Nerv Syst Country: Germany |
Other Details:
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Languages: eng Pagination: 1205-8 Citation Subset: IM |
Affiliation:
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Department of Rehabilitation Medicine, Seoul Metropolitan Boramae Hospital, Seoul National University College of Medicine, Seoul, South Korea. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Cerebral Palsy
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diagnosis* Child Diagnosis, Differential Evoked Potentials, Somatosensory / physiology Gait Disorders, Neurologic / etiology, surgery Humans Kyphosis / complications, congenital*, diagnosis* Magnetic Resonance Imaging Male Neurologic Examination Orthopedic Procedures Spine / surgery Tibial Nerve / physiopathology Tomography, X-Ray Computed Walkers Walking / physiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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