[Traumatic atlanto-occipital dislocation: a case report with survival].
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.
Shirakawa
K
K
Department of Neurosurgery, National Nagasaki Chuo Hospital, Japan.
Iwanaga
M
M
Baba
H
H
Yonekura
M
M
Teramoto
S
S
Iwamoto
K
K
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