Al-Habib A, AlAqeel A. C2/3 instability: unusual cause of cervical myelopathy in a child with Down syndrome.
Childs Nerv Syst 2013;
29:163-5. [PMID:
23108918 DOI:
10.1007/s00381-012-1950-2]
[Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/10/2012] [Accepted: 10/18/2012] [Indexed: 10/27/2022]
Abstract
We report a rare cause of cervical myelopathy (CM) in a 10-year-old Down syndrome (DS) girl. She presented with progressive CM over 1 year affecting her ability to ambulate or feed herself. The myelopathy was secondary to C2/3 instability. Surgical reduction and instrumented fusion have significantly improved her neurological status. This case emphasizes the importance of close follow-up of DS patients for early diagnosis and treatment of cervical spine abnormalities.
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