Congenital cervical kyphosis in a child associated with tetraparesis: case report.
Congenital cervical kyphosis is a rare clinical condition. We describe an infant presenting with tetraparesis, rapidly progressing to phrenic paralysis and fatal respiratory insufficiency. Therapeutic options remain challenging. Surgical arthrodesis is technically difficult, and one report of a therapeutic thermoplastic body splint is described. Final outcome, however, is dismal. No long-term survivors have been described.
Van Gorp
Viola
V
Pediatric Critical Care Department, Universitair Ziekenhuis Brussel, BE-1090 Brussels, Belgium. Viola.VanGorp@uzbrussel.be
Dricot
Frederic
F
van Berlaer
Gerlant
G
Van Rompaey
Katrijn
K
Hachimi-Idrissi
Said
S
D002574:Cervical Vertebrae; D003131:Combined Modality Therapy; D018450:Disease Progression; D017809:Fatal Outcome; D006801:Humans; D007103:Immobilization / Q000379:methods; D007231:Infant, Newborn; D007738:Kyphosis / Q000150:complications* / Q000151:congenital* / Q000175:diagnosis; D008279:Magnetic Resonance Imaging; D008297:Male; D008775:Methylprednisolone / Q000627:therapeutic use; D010243:Paralysis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D010791:Phrenic Nerve; D011175:Positive-Pressure Respiration; D011782:Quadriplegia / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed
D008775:Methylprednisolone