Subacute cervical myelopathy in a child with cerebral palsy. Secondary to torsion dystonia?
A 12-year-old girl with a spastic dystonic tetraparesis due to cerebral palsy showed a subacute cervical myelopathy. X-ray films of the cervical spine demonstrated a subluxation of C4 on C5. Myelography and computerized tomography of the cervical spine performed under general anesthesia demonstrated only a minimal rotation of C3 with respect to C4 and a rather narrow cervical canal. In the reported case the most important factor in the spinal cord impairment was probably the anterior-slipping of the 4th cervical vertebra. The subluxation, secondary to torsion dystonia as demonstrated by its relief during general anesthesia, very likely caused a long-standing, although intermittent, spinal cord compression.
D002547:Cerebral Palsy / Q000150:complications*; D002574:Cervical Vertebrae / Q000000981:diagnostic imaging; D002648:Child; D004421:Dystonia / Q000150:complications*; D005260:Female; D006801:Humans; D008141:Lordosis / Q000000981:diagnostic imaging; D009192:Myelography; D012600:Scoliosis / Q000000981:diagnostic imaging; D013117:Spinal Cord Compression / Q000000981:diagnostic imaging*; D014102:Torsion Abnormality