title: [Traumatic atlanto-occipital dislocation: a case report with survival].
abstract: We reported a case of a patient who survived anterior atlanto-occipital dislocation. A seven-year-old girl was admitted to our hospital due to disturbed consciousness after being involved in a traffic accident. With gradual improvement of consciousness, she showed bilateral abducens nerve palsy, quadriparesis and cervical instability. Lateral plain film showed anterior atlanto-occipital dislocation. MRI showed severe compression of the cervical cord and disruption of supporting ligaments of the cervicomedullary junction. After 4 months, cervical instability continued and posterior fixation was carried out with bone grafts. Her postoperative course was uneventful.
authors.affiliation: Department of Neurosurgery, National Nagasaki Chuo Hospital, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Shirakawa
authors.forename: M
authors.initials: M
authors.lastname: Iwanaga
authors.forename: H
authors.initials: H
authors.lastname: Baba
authors.forename: M
authors.initials: M
authors.lastname: Yonekura
authors.forename: S
authors.initials: S
authors.lastname: Teramoto
authors.forename: K
authors.initials: K
authors.lastname: Iwamoto
mesh_terms: D000063:Accidents, Traffic; D001269:Atlanto-Occipital Joint / Q000293:injuries* / Q000473:pathology / Q000601:surgery; D002648:Child; D005260:Female; D006801:Humans; D004204:Joint Dislocations / Q000473:pathology / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D013534:Survival