Abstract
This case of severe closed head injury associated with nonfracture and nonrotated atlantoaxial dislocation is reported to argue the necessity of obtaining a routine cervical CT scan for unconscious patients admitted to emergency units after severe head injury.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Akbarnia BA, Vafaie M (1983) Atlantoaxial rotary fixation: report of a case with massive displacement. Spine 8:907–910
Ball J, Sharp J (1971) Rheumatoid arthritis of the cervical spine. In: Hill AGS (ed) Modern trends in rheumatology, 2nd edn. Butterworths, London, pp 117–138
Fielding JW, Hawkins RS (1977) Atlantoaxial rotary fixation. J Bone Joint Surg [Am] 59:37
Garber JN (1974) Abnormalities of the atlas and the axis vertebrae-congenital and traumatic. J Bone Joint Surg [Am] 49:1792
Greenberg AD (1968) Atlantoaxial dislocations. Brain 91:655–684
Jamshidi S, Dennis MW, Azzam C, Karim N (1983) Traumatic posterior atlantoaxial dislocation without neurologic deficit: case report. Neurosurgery 12:211–213
Jellinger K (1973) Pathomorphological aspects of the biomechanics of the CNS. In: Kuhlendahl H, Hensell V (eds) Modern aspects of neurosurgery, vol. 3. Elsevier, New York, pp 27–35
Jones RN (1984) Rotary dislocation of both atlanto-axial joints. J Bone Joint Surg [Br] 6:6–7
Kline DG (1966) Atlanto-axial dislocation simulating a head injury: hypoplasia of the odontoid. J Neurosurg 24:1013–1016
Maiman DJ, Cusick JF (1982) Traumatic atlanto-axial dislocation. Surg Neurol 18:388–392
Menezes AH, Van Gilder JC, Clark CR, El-Khoury G (1985) Odontoid upward migration in rheumatoid arthritis. An analysis of 45 patients with cranial settling. J Neurosurg 63:500–509
Naik DR (1970) Cervical spinal canal in normal infants. Clin Radiol 21:323
Pang D, Wilberger JE (1980) Traumatic atlanto-occipital dislocation with survival: case report and review. Neurosurgery 7:503–508
Papavasilou V (1978) Traumatic subluxation of the cervical spine during childhood. Orthop Clin North Am 9:925–951
Ransford AO, Crockard HA, Poza JL, Thomas NP, Velson IW (1986) Craniocervical instability treated by contoured loop fixation. J Bone Joint Surg [Br] 68:173–177
Shapiro R, Youngberg AS, Rothman SLG (1973) The differential diagnosis of traumatic lesions of the occipito-atlanto-axial segment. Radiol Clin North Am 11:505–526
Sherk HH, Schut L, Lane JM (1976) Fractures and dislocation of the cervical spine in children. Orthop Clin North Am 7:593–604
Shukla R, Gupta NN, Lall BN (1984) Congenital atlanto-axial dislocation: a clinical and radiological study. J Assoc Physicians India 32:697–700
Sullivan CR, Bruwer AJ, Harris LE (1958) Hypermobility of the cervical spine in children. A pitfall in the diagnosis of cervical dislocation. Am J Surg 95:636
Teng P, Papatheodorou C (1967) Traumatic subluxation of C2 in young children. Bull Los Angeles Neurol Soc 32:197–202
Werne S (1957) Studies in spontaneous atlas dislocation. The craniovertebral joints. Acta Orthop Scand Suppl 23:11–83
White AA III, Panjabi MM (1978) The clinical biomechanics of the occipitoatlantoaxial complex. Orthop Clin North Am 9:867–878
Wilberger JE (1986) Radiological evaluation of spinal trauma. In: Wilberger JE (ed) Spinal cord injuries in children, Futura, New York, pp 21–47
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Baykaner, M.K., Aykol, Ş., Keskil, I.S. et al. Severe closed head injury associated with nonfracture and nonrotated atlantoaxial dislocation. Child's Nerv Syst 9, 488–490 (1993). https://doi.org/10.1007/BF00393560
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00393560