Pascual-Gallego María, Budke Marcelo, Villarejo Francisco
Servicio de Neurocirugía, Hospital Universitario Clínico San Carlos, Madrid, España.
Servicio de Neurocirugía, Hospital Universitario Niño Jesús, Madrid, España.
Neurocirugia (Astur). 2014 Jan-Feb;25(1):29-32. doi: 10.1016/j.neucir.2012.10.002. Epub 2012 Dec 4.
The appearance of congenital anomalies at the level of atlas is frequent in patients with neural alterations, as well as in the Down syndrome. The presence of clinical stenosis for alteration in the posterior arch of C1 without a previous atlantoaxial subluxation hasn't been described in the literature thus far.
We report an exceptional case of myelopathy due to compression at the level of the atlas in a 5-year-old boy with Down syndrome provoked by a developmental anomaly of the posterior arch of C1. A posterior laminectomy was achieved at that level with improvement of the previous symptoms.
We have to pay special attention in children with syndromes associated with chondrogenesis alterations, as in the case of those with Down syndrome, to benefit from early treatment, since in most of the time they are diagnosed when symptoms are very severe.
寰椎水平的先天性异常在神经改变患者以及唐氏综合征患者中很常见。迄今为止，文献中尚未描述过在没有先前寰枢椎半脱位的情况下，因C1后弓改变导致临床狭窄的情况。
我们报告了一例特殊的脊髓病病例，该病例发生在一名5岁唐氏综合征男孩身上，是由C1后弓发育异常引起的寰椎水平压迫所致。在该水平进行了后路椎板切除术，先前症状得到改善。
我们必须特别关注与软骨生成改变相关综合征的儿童，如唐氏综合征患儿，以便从早期治疗中获益，因为大多数情况下，他们在症状非常严重时才被诊断出来。
