Cervical Myelopathy from Atlantoaxial Instability in a Child with Down Syndrome and Cerebral Palsy: A case report.

, Kim, Min Young; , Kim, Sung Hyun

Case Report

Journal of the Korean Academy of Rehabilitation Medicine 2008;32(2):230-233.

Department of Physical Medicine and Rehabilitation, College of Medicine, Pochon CHA University, Korea. jidda74@naver.com

뇌성마비가 동반된 다운증후군 환아의 환축추 불안정에 의한 경수 손상 -증례 보고-

김민영, 김성현

포천중문의과대학교 재활의학교실

Abstract

The development of nontraumatic atlantoaxial instability in children with Down syndrome has been well documented. Even though the incidence of symptomatic myelopathy from atlantoaxial instability is quite low, early recognition has tremendous significance to reduce the chance of progressing into life threatening conditions. Recently we experienced a case with atlantoaxial instability in a Down syndrome patient who was also diagnosed as cerebral palsy and subsequently in a quadriplegic state. Since neurologic changes from cord compression are difficult to recognize in this kind of complicated case, special attention should be paid to prevent catastrophic events. (J Korean Acad Rehab Med 2008; 32: 230-233)

Key Words: Down syndrome, Atlantoaxial joint, Cerebral palsy