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Atlanto-axial subluxation with background Down syndrome

Case contributed by: Dr Yuranga Weerakkody

Presentation:

Adult with background Down syndrome

Patient Data:

Age: Adult
Race: Other

CT scan of skull base

Modality: CT

CT scans demonstrates some of classical skull base features associated with Down syndrome

As the features are longstanding there also associated secondary degenerative changes. The anterior C1 arches are also unfused

Case Discussion:

Related articles

References:

  1. Selby KA, Newton RW, Gupta S et-al. Clinical predictors and radiological reliability in atlantoaxial subluxation in Down's syndrome. Arch. Dis. Child. 1991;66 (7): 876-8. Arch. Dis. Child. (citation) - Free text at pubmed - Pubmed citation
  2. Morton RE, Khan MA, Murray-leslie C et-al. Atlantoaxial instability in Down's syndrome: a five year follow up study. Arch. Dis. Child. 1995;72 (2): 115-8. Arch. Dis. Child. (citation) - Free text at pubmed - Pubmed citation
  3. Shikata J, Yamamuro T, Mikawa Y et-al. Surgical treatment of symptomatic atlantoaxial subluxation in Down's syndrome. Clin. Orthop. Relat. Res. 1987;(220): 111-8. - Pubmed citation

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