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Traumatic atlanto-occipital dislocation: a case report with survival

Shirakawa, K.; Iwanaga, M.; Baba, H.; Yonekura, M.; Teramoto, S.; Iwamoto, K.

No Shinkei Geka. Neurological Surgery 24(5): 451-454

1996

ISSN/ISBN: 0301-2603
PMID: 8692371
Document Number: 455543
We reported a case of a patient who survived anterior atlanto-occipital dislocation. A seven-year-old girl was admitted to our hospital due to disturbed consciousness after being involved in a traffic accident. With gradual improvement of consciousness, she showed bilateral abducens nerve palsy, quadriparesis and cervical instability. Lateral plain film showed anterior atlanto-occipital dislocation. MRI showed severe compression of the cervical cord and disruption of supporting ligaments of the cervicomedullary junction. After 4 months, cervical instability continued and posterior fixation was carried out with bone grafts. Her postoperative course was uneventful.

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