PEDIATRIC ATLANTOAXIAL INSTABILITY PRESENTING AS CEREBRAL AND CEREBELLAR INFARCTS

被引：25

作者：

BHATNAGAR, M ^{[1
]}

SPONSELLER, PD ^{[1
]}

CARROLL, C ^{[1
]}

TOLO, VT ^{[1
]}

机构：

[1] JOHNS HOPKINS UNIV,SCH MED,BALTIMORE,MD 21205

来源：

JOURNAL OF PEDIATRIC ORTHOPAEDICS | 1991年 / 11卷 / 01期

关键词：

Atlantoaxial subluxation; Cerebellar infarcts; Cervical fusion; Os odontoideum; Vertebral artery;

D O I：

10.1097/01241398-199101000-00020

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Atlantoaxial instability can lead to severe, permanent neurologic compromise and death if not treated by cervical fusion. However, identification of atlantoaxial subluxation can be difficult owing to the often confusing signs and symptoms. We describe a patient with unexplained transient repeated cerebral and cerebellar signs who had 10 mm of translation of the atlas on the axis owing to odontoideum with infarcts in the cerebellum and occipital parietal lobes. These correlated with angiographically documented vertebral artery narrowing at the level of the axis and the subsequent low flow to the posterior cerebellum. After stabilization and fusion of the cervical spine, the patient regained normal neurologic function and has remained symptom-free at 2 years of follow-up.

引用

页码：103 / 107

页数：5

共 12 条

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