Recognition of progressive atlanto-occipital dislocation (by a changing neurologic status and clinical deformity).
We present a case of progressive atlanto-occipital dislocation, recognized by a new onset of positive neurologic findings. We discuss the anatomic relationship of the lower four cranial nerves to the foramen magnum and the atlanto-occipital joint. The importance of careful assessment of the cranial nerves prior to choosing a treatment algorithm is emphasized.
Harty
J A
JA
Department of Orthopaedic Surgery, Mater Misericordiae Hospital, Dublin, Ireland. jaharty@hotmail.com
Sparkes
J
J
McCormack
D
D
Walsh
M G
MG
D000328:Adult; D001269:Atlanto-Occipital Joint / Q000000981:diagnostic imaging* / Q000293:injuries* / Q000601:surgery; D006801:Humans; D016916:Joint Deformities, Acquired / Q000175:diagnosis* / Q000209:etiology* / Q000601:surgery; D004204:Joint Dislocations / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D009422:Nervous System Diseases / Q000175:diagnosis* / Q000209:etiology* / Q000601:surgery; D014057:Tomography, X-Ray Computed