A Case of Down Syndrome with Atlanto-axial Dislocation

J Korean Neurol Assoc > Volume 7(1); 1989 > Article

Journal of the Korean Neurological Association 1989;7(1): 131-139.

환추-축추 탈골을 보인 Down 증후군 환자의 1예

이원용, 김광국,김종성,이광우,노재규,이상복,명호진

서울대학교 신경과.

A Case of Down Syndrome with Atlanto-axial Dislocation

Won-Yong Lee,M.D., Kwang-Kuk Kim,M.D., Jong-Sung Kim,M.D., Kwang-Woo Lee,M.D., Jae-Kyu Rho,M.D., Sang-Bok Lee,M.D., Hojin Myung,M.D.

Department of neurology , College of medicine, Seoul National University

Abstract

Atlanto-axial instability in children with Down syndrome(trisomy 21) has become a wel! Known entity and it has been reported frequently since it was first reported over 25 years ago. However, symtomatic atlanto-axial dislocation associated with cord compression is relatively rare and it had seldom been reported. We recently experienced a 14-year-old mongoloid female with progressive quadriparesis, who have no prior cervical inflammation and we detected atlanto-axial dislocation with ossculum terminale and cord compression through radiological evaluations. We report a case of symptomatic atlanto-axial dislocation in Down syndrome with review