Cervical Myelopathy due to Congenital Atlanto-axial Dislocation
Journal Title: Nepal Journal of Neuroscience - Year 2005, Vol 2, Issue 1
Abstract
Five cases of atlanto-axial dislocation (AAD) are reported with emphasis on their clinical presentation and literature is reviewed. The first patient had gross AAD and presented as progressive myelopathy. The second patient had AAD with occipitalization of atlas, Chiari malformation and syringomyelia where headache was the only presenting symptom. The third patient with AAD, had occipitalization of atlas and fusion of cervical second and third (C2- C3) vertebrae. She presented with peculiar sensation over forehead. Detection of pathologically brisk tendon reflexes in the lower limbs and extensor plantar response led to further investigation and diagnosis of the condition. The fourth patient had AAD and advanced spondylotic changes. His symptoms manifested after injury and then progressed gradually leading to quadriplegia. The fifth case presented with nuchal and occipital neuralgia, paresthesia in hands and brisk reflexes. X-ray cervical spine showed unfused, separate but fully developed odontoid process and AAD. All these patients represented congenital AAD.
Authors and Affiliations
PVS Rana, MD, DM
Keywords
Related Articles
- EP ID EP382046
- DOI -
- Views 122
- Downloads 0
Transcranial Direct Current Stimulation Method for Stroke Management
21
Intradiploic Epidermoid Cyst Presenting as a Cranial Dermal Sinus: A Diagnostic Dilemma
Small superficial epidermoid and dermoid inclusion cysts are commonly encountered as “lumps and bumps” in the scalp and at the orbital rim. Their deeper-sited intracranial variants are uncommon however, accounting for le...
Radiological Features and Differential Diagnosis of Lateral Ventricle Central Neurocytoma
Central Neurocytoma (CN) accounts for less than 1 % of total brain tumors. It is typically localized in supratentorial ventricular region in relation to septum pellucidum and foramen monro. It is of pure neuronal origin...
Christian Andreas Doppler, Moving Stars and Rails in the Netherlands
Christian Doppler was an Austrian scientist who remains in history of science because of his discovery on Doppler Effect. The theory which was later proved experimentally has got a number of applications in various field...
Solitary Skull Metastases from Breast Carcinoma
Metastases to the skull occur in 25% of all malignancies and of this maximum are from either breast, lung or prostate. Solitary lesions to the skull present eitheras a painless lump or with cranial nerve palsies dependin...