Thalamic syndrome as the heralding manifestation of atlantoaxial dislocation

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Atlantoaxial dislocation

Atlantoaxial dislocation is the loss of normal alignment and stability of the first (atlas) and second (axis) cervical vertebrae with respect to each other. Etiologies are various, including trauma, congenital factors, infection, and connective tissue and autoimmune disorders. The condition must be appropriately diagnosed and managed to prevent deformity, spinal instability, and potential neuro...

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Spontaneous atlantoaxial subluxation: an unusual presenting manifestation of Reiter's syndrome

A male Sikh presented with spontaneous neck pain. Plain cervical radiography showed gross atlantoaxial subluxation (AAS). Computed tomography showed soft tissue anterior to a subluxed odontoid peg. A diagnosis of atlantoaxial tuberculosis was considered. Confirmation of this would have required a trans-oral anterior cervical biopsy. Despite the paucity of other rheumatic symptoms a diagnosis of...

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Spontaneous atlantoaxial subluxation: an unusual presenting manifestation of Reiter's syndrome.

A male Sikh presented with spontaneous neck pain. Plain cervical radiography showed gross atlantoaxial subluxation (AAS). Computed tomography showed soft tissue anterior to a subluxed odontoid peg. A diagnosis of atlantoaxial tuberculosis was considered. Confirmation of this would have required a trans-oral anterior cervical biopsy. Despite the paucity of other rheumatic symptoms a diagnosis of...

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Multifocal myoclonus as a heralding manifestation of Wilson disease

Wilson disease (WD) is one of the few curable movement disorders that manifests with varied presentations so that WD needs to be considered in any patient with a movement disorder under the age of 50 years. Although WD is one of the causes of myoclonus, it is rarely seen in WD and usually as an associated finding. We report a case of an adolescent female patient of WD who presented with cortica...

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Atlantoaxial Rotatory Fixed Dislocation

Study Design. Retrospective case series of atlantoaxial rotatory fixed dislocation (AARFD). Objective. To describe clinical features and the surgical treatment of AARFD. Summary of Background Data. The classification and treatment strategy for atlantoaxial rotatory fixation (AARF) were previously described and remained controversial. AARF concomitant with atlantoaxial dislocation has different ...

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ژورنال

عنوان ژورنال: Case Reports

سال: 2013

ISSN: 1757-790X

DOI: 10.1136/bcr-2012-007712