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February 1953, Vol 85, No. 2 >
Article | February 1953

ANTERIOR DISLOCATION OF FIRST CERVICAL VERTEBRA SIMULATING CEREBRAL BIRTH INJURY IN INFANCY FREE

EBEN ALEXANDER, M.D.; RICHARD MASLAND, M.D.; CARLTON HARRIS, M.D.
[+] Author Affiliations

Presented before the Southern Neurosurgical Society on April 12, 1952, Durham.


AMA Am J Dis Child. 1953;85(2):173-181. doi:10.1001/archpedi.1953.02050070182006.
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BECAUSE pediatrician and the neurologist are so often confronted with the handicapped child showing evidence of paralysis and exhibiting seizures of one form or another due to cerebral birth injury, such signs and symptoms due to other causes are likely to be overlooked. It has long been recognized, but not sufficiently emphasized, that clinical pictures simulating cerebral injury can occur as the result of compression of the cervical cord. Compression of this type may be due to (1) tumors of the posterior fossa or the cervical cord or to bony exostoses in this location; (2) congenital anomalies of the region of the foramen magnum or the upper cervical spine, such as the Arnold-Chiari malformation or platybasia; (3) infections of the pharynx resulting in dislocations of the upper cervical spine,1 or (4) traumatic dislocations and fractures of the upper cervical spine.2

It is apparent from case reports of children

REFERENCES

1 +
Watson-Jones, R.:  Spontaneous Hyperaemic Dislocation of the Atlas , Proc. Roy. Soc. Med. 25:586-590, 1932;.
2 +
Clark, W. A.:  Fractures and Dislocations of the Cervical Portion of the Spine: With a Review of 89 Cases , Arch. Surgery 42:537, 1941;.
3 +
Osgood, R. B., and Lund, C. C.:  Fractures of the Odontoid Process , New England J. Med. 198:61, 1928;.
4 +
Padula, R. D., and Tracey, E. J.:  Fracture-Dislocation of Axis and Atlas in an Infant , J. A. M. A. 112:1149, 1939;.
5 +
List, C. F.:  Neurologic Syndromes Accompanying Developmental Anomalies of the Occipital Bone, Atlas and Axis , Arch. Neurol. & Psychiat. 45:577, 1941;.
6 +
Schwarz, G. A., and Wigton, R. S.:  Fracture-Dislocations in the Region of the Atlas and Axis, with Consideration of Delayed Neurological Manifestations and Some Roentgenographic Features , Radiology 28:601, 1937;.
7 +
Titrud, L. A.; McKinlay, C. A.; Camp, W. E., and Hannah, N. B.:  Non-Traumatic Atlanto-Axial Dislocation: Report of a Case with Recovery After Quadriplegia , J. Neurosurg. 6:174-180, 1949;.
8 +
Watson-Jones.1

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

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References

1 +
Watson-Jones, R.:  Spontaneous Hyperaemic Dislocation of the Atlas , Proc. Roy. Soc. Med. 25:586-590, 1932;.
2 +
Clark, W. A.:  Fractures and Dislocations of the Cervical Portion of the Spine: With a Review of 89 Cases , Arch. Surgery 42:537, 1941;.
3 +
Osgood, R. B., and Lund, C. C.:  Fractures of the Odontoid Process , New England J. Med. 198:61, 1928;.
4 +
Padula, R. D., and Tracey, E. J.:  Fracture-Dislocation of Axis and Atlas in an Infant , J. A. M. A. 112:1149, 1939;.
5 +
List, C. F.:  Neurologic Syndromes Accompanying Developmental Anomalies of the Occipital Bone, Atlas and Axis , Arch. Neurol. & Psychiat. 45:577, 1941;.
6 +
Schwarz, G. A., and Wigton, R. S.:  Fracture-Dislocations in the Region of the Atlas and Axis, with Consideration of Delayed Neurological Manifestations and Some Roentgenographic Features , Radiology 28:601, 1937;.
7 +
Titrud, L. A.; McKinlay, C. A.; Camp, W. E., and Hannah, N. B.:  Non-Traumatic Atlanto-Axial Dislocation: Report of a Case with Recovery After Quadriplegia , J. Neurosurg. 6:174-180, 1949;.
8 +
Watson-Jones.1

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