Traumatic atlanto-occipital dislocation with long-term survival.
A 6-year-old boy presented with traumatic atlanto-occipital dislocation due to a traffic accident. Lateral spinal tomography showed anterior misalignment of the craniocervical junction. Magnetic resonance imaging demonstrated associated cervicomedullary injury. He underwent an occipital-cervical fusion with implantation of a spinal cord electrical stimulation unit. His consciousness level improved, but he remained quadriplegic and dependent on a respirator 2 years after the injury.
Yamaguchi
N
N
Department of Neurosurgery, Kanazawa University School of Medicine.
Ikeda
K
K
Ishise
J
J
Yamashita
J
J
D001269:Atlanto-Occipital Joint / Q000503:physiopathology*; D002648:Child; D015600:Glasgow Coma Scale; D006801:Humans; D004204:Joint Dislocations / Q000175:diagnosis* / Q000503:physiopathology*; D008279:Magnetic Resonance Imaging; D008297:Male; D011782:Quadriplegia / Q000209:etiology; D013119:Spinal Cord Injuries / Q000150:complications; D014057:Tomography, X-Ray Computed