Delayed diagnosis of a spontaneous atlanto-axial rotatory dislocation

✍ Scribed by W. Oberthaler; E. Schwarz

• Book ID: 104772096
• Publisher: Springer
• Year: 1984
• Tongue: English
• Weight: 299 KB
• Volume: 103
• Category: Article
• ISSN: 1434-3916
• DOI: 10.1007/bf00435556

✦ Synopsis

Without any known specific cause a 3year-old boy developed a torticollis Although the symptoms were treated immediately there was no improvement Four months later X-rays showed that the dens-atlas distance was enlarged In spite of this, he was treated by tenotomy and intensive physiotherapy, but the torticollis remained Two years later a tomogram and a CT showed a complete rotatory dislocation between atlas and axis At this stage it was impossible to treat the original cause Physiotherapy was continued to improve the position of the head.