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

EBEN ALEXANDER Jr., M.D.; RICHARD MASLAND, M.D.; CARLTON HARRIS, M.D.
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

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