Acquired spinal cord lesion associated with os odontoideum causing deterioration in dystonic cerebral palsy: case report and review of the literature
Acquired spinal cord lesion associated with os odontoideum causing deterioration in dystonic cerebral palsy: case report and review of the literature
A boy with a dystonic quadriparesis presented with acquired paralysis, spasticity, and a feeding disorder. Spinal MRI revealed a cervical cord lesion and os odontoideum. Excessive movement of the neck, leading to failure of ossification of the dens and then to cervical cord trauma was the likely mechanism. The poor outcome of this subject is described, emphasising the need to pay careful attention to neurological changes in children with extrapyramidal cerebral palsy, who may be at particular risk of cord pathology. The management issues are discussed.
195-198
Amess, P.
ae071122-4364-4742-9c27-97b86fa8615a
Chong, W.K.
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Kirkham, F.J.
1dfbc0d5-aebe-4439-9fb2-dac6503bcd58
March 1998
Amess, P.
ae071122-4364-4742-9c27-97b86fa8615a
Chong, W.K.
bb7bc2ce-1866-4fb0-8b82-5a6d2381b67a
Kirkham, F.J.
1dfbc0d5-aebe-4439-9fb2-dac6503bcd58
Amess, P., Chong, W.K. and Kirkham, F.J.
(1998)
Acquired spinal cord lesion associated with os odontoideum causing deterioration in dystonic cerebral palsy: case report and review of the literature.
Developmental Medicine and Child Neurology, 40 (3), .
(doi:10.1111/j.1469-8749.1998.tb15447.x).
Abstract
A boy with a dystonic quadriparesis presented with acquired paralysis, spasticity, and a feeding disorder. Spinal MRI revealed a cervical cord lesion and os odontoideum. Excessive movement of the neck, leading to failure of ossification of the dens and then to cervical cord trauma was the likely mechanism. The poor outcome of this subject is described, emphasising the need to pay careful attention to neurological changes in children with extrapyramidal cerebral palsy, who may be at particular risk of cord pathology. The management issues are discussed.
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Published date: March 1998
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Local EPrints ID: 429807
URI: http://eprints.soton.ac.uk/id/eprint/429807
ISSN: 0012-1622
PURE UUID: 5dd3aaa1-513a-403b-991c-b9bf87af7ef3
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Date deposited: 05 Apr 2019 16:30
Last modified: 16 Mar 2024 03:22
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Author:
P. Amess
Author:
W.K. Chong
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