Non-traumatic atlanto-axial rotatory subluxation: A rare cause of neck stiffness

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Non-traumatic atlanto-axial rotatory subluxation: A rare cause of neck stiffness

Atlanto-axial rotatory subluxation is a rare condition in childhood. A sudden onset of pain and limitation in neck movements are the most common presenting features. Usually, a previous trauma history exists. This study presents a case of an 18-month-old male with neck stiffness and pain in neck through palpation without trauma in his history but with rotatory subluxation of 30° in atlanto-axia...

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Traumatic atlanto-axial subluxation.

Traumatic atlanto-axial subluxation is a rare injury which may not be revealed on routine radiographs, especially when there is muscle spasm. We report on seven patients with atlanto-axial subluxation as a result of neck injury; only two of them had significant head injuries. Three patients presented with a neurological deficit attributable to the injury, one immediate and two with delayed onse...

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Non - traumatic atlantoaxial rotatory subluxation

Figure 2: 3D-computed tomography (CT) scan showing right rotatory atlanto-axial subluxation without any increase in the atlanto-dental distance confirming the diagnosis of Fielding’s type-I atlantoaxial rotatory subluxation. smaller centers. This leads to undue concentration of neurosurgeons in a few centers, where facilities are available, leading to less and less of neurosurgical work for ind...

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Morquio Disease as a cause of atlanto-axial subluxation

A 12 years old boy, with no past medical history, presented to the neurology department with a 7 years clinical course of untreated limping, progressive kyphosis, repeated shoulder dislocation, and, recently, progressive limbs weakness. On examination, the patient was short trunked with fixed cervical hyperextension and thoracolumbar kyphosis. Also noted were genu valgum and ligamentous laxity....

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Diagnosis of acute atlanto-axial rotatory fixation.

We report three cases of atlanto-axial rotatory fixation in adults. Early diagnosis was made by clinical tests showing restricted head rotation in maximal neck flexion and asymmetry of the transverse processes of the atlas, confirmed by cineradiography. Early treatment by traction may obviate long-term problems of torticollis and instability.

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ژورنال

عنوان ژورنال: Turkish Journal of Emergency Medicine

سال: 2015

ISSN: 2452-2473

DOI: 10.1016/j.tjem.2015.11.011