Abstract
The clinical and radiological features of 10 cases of congenital atlantoaxial dislocation have been studied. Ninety percent were male-The mean age at onset of symptoms was 9.3 years. Onset was gradual in 9 cases. The mean duration of symptoms was 3.3 years. A predisposing factor was seen in 150% cases. Progressive neurological deficit was the presenting symptoms in 7 patients while 3 had transitory attacks. Pyramidal involvement was seen in all. Occipitalisation, fusion of C2 and 3 and A.A. dislocation was seen in 50%. The dislocation was reducible in 30 percent. Surgery was done in 3 and 7 patients were treated conservatively.
Similar content being viewed by others
References
Wadia NH: Chronic progressive myelopathy complicating atlantoaxial dislocation due to congenital abnormality Neurol (India) 8: 81, 1960
Wadia NH: Myelopathy complicating congenital atlantoaxial dislocation. Brain 90: 449, 1967
Pandya SK: Atlantoaxial dislocation. Neurol (India) 20: 13, 1972
Wadia NH: Congenital dislocation and its manifestations due to spinal cord compression, in Tropical Neurology ed, Spillane J.D. London Oxford University Press, Page 99, 1973
Shinh G: Congenital atlantoaxial dislocation, Neurol (India) 24: 65, 1976
Shukla R, Kar AM, Nag D: Congenital atlantoaxial dislocation, Indian J Pediatr 46: 332, 1979
Bhat MS: Study of craniovertebral anomalies, Thesis for MD (Neurology) University of Bombay, 1975
Pandya SK: Tuberculous atlantoaxial dislocation. Neurol (India) 19: 116, 1971
Jones RW: Spontaneous hyperaemic dislocation of the atlas. Proc Roy Soc Med 25: 589, 1932
Dalai PM: Craniovertebral anomalies, in Progress in clinical medicine, Vol. 1, ed. Ahuja MMS, 281, 1976.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Shukla, R., Nag, D. & Malik, G.K. Congenital atlantoaxial dislocation in children. Indian J Pediatr 49, 447–451 (1982). https://doi.org/10.1007/BF02834440
Issue Date:
DOI: https://doi.org/10.1007/BF02834440