Shirakawa K, Iwanaga M, Baba H, Yonekura M, Teramoto S, Iwamoto K
Department of Neurosurgery, National Nagasaki Chuo Hospital, Japan.
No Shinkei Geka. 1996 May;24(5):451-4.
We reported a case of a patient who survived anterior atlanto-occipital dislocation. A seven-year-old girl was admitted to our hospital due to disturbed consciousness after being involved in a traffic accident. With gradual improvement of consciousness, she showed bilateral abducens nerve palsy, quadriparesis and cervical instability. Lateral plain film showed anterior atlanto-occipital dislocation. MRI showed severe compression of the cervical cord and disruption of supporting ligaments of the cervicomedullary junction. After 4 months, cervical instability continued and posterior fixation was carried out with bone grafts. Her postoperative course was uneventful.
我们报告了一例寰枕前脱位患者存活的病例。一名7岁女孩因交通事故后意识障碍入住我院。随着意识逐渐好转，她出现双侧展神经麻痹、四肢瘫和颈椎不稳。颈椎侧位X线平片显示寰枕前脱位。磁共振成像（MRI）显示颈髓严重受压，颈髓交界处支持韧带断裂。4个月后，颈椎不稳持续存在，遂行植骨后路固定术。她术后恢复顺利。
