INTRODUCTION Although uncommon, fractures of the os odontoideum are known to occur in children under 7 years old, following acute trauma. CLINICAL PICTURE We report a case of chronic subluxation of the os odontoideum resulting in cervical myelopathy in a child with Beare-Stevenson cutis gyrata syndrome after surgery to the head and neck. TREATMENT AND OUTCOME The patient was initially put i...

PURPOSE To present the case of a 14-year-old boy with clinical and radiographic features of pseudorheumatoid chondrodyspalsia with additional, potentially serious, cervical malformations. METHODS Detailed clinical and radiological examinations were undertaken with emphasis on the usefulness of 3D-CT scanning. RESULTS There was synchondrosis between the odontoid and the body of the axis and ...

A 6-year-old boy arrived at the emergency department three days after falling 51/2 metres (19 feet) from a balcony. Bystanders said that the child appeared to have landed on his forehead. The child complained of neck pain and held his head stiffly. On examination, his C-spine movements were decreased and he held his head tilted to the left. The rest of the physical exam, including a neurologica...

We examined 50 computed tomographic (CT) scans that included sections through the base of the skull at a wide variety of angles. Each of these examinations had an accompanying localizing radiograph so that the angle at which the scan had been obtained could be ascertained . The scans were randomly arranged and rated as to how well 11 structures in the skull base were visualized: (1) foramen mag...