[Traumatic atlanto-occipital dislocation with minimal neurologic deficits].
A 21-year-old woman presented with mild neck pain following a scooter accident. Conventional cervical radiographs showed a lateralisation of the dens axis to the left in relation to the foramen magnum. A subsequent CT with a multiplanar reconstruction revealed an atlanto-occipital dislocation that was repositioned under fluoroscopic control. The patient had an uneventful recovery; a mild loss of strength in the left arm remained. The atlanto-occipital dislocation without neurological deficit is rare.
van der Meulen
J J
JJ
Afd. Chirurgie, St. Elisabeth Ziekenhuis, Postbus 90.151, 5000 LC Tilburg.
Meeuwis
J D
JD
Sluzewski
M
M
van Rooij
W J
WJ
Hu
I P
IP
D000063:Accidents, Traffic; D000328:Adult; D001269:Atlanto-Occipital Joint / Q000000981:diagnostic imaging / Q000293:injuries*; D005260:Female; D006801:Humans; D004204:Joint Dislocations / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000628:therapy*; D008349:Manipulation, Orthopedic / Q000379:methods*; D019547:Neck Pain / Q000209:etiology; D011859:Radiography; D013124:Spinal Injuries / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000628:therapy*; D016896:Treatment Outcome
Traumatische atlanto-occipitale dislocatie met minimale neurologische uitval.