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[Traumatic perinatal cervical dislocation].

S Haddad-Zebouni1, D Elia, N Aoun

  • 1Service d'imagerie médicale, Hôtel-Dieu de France, boulevard Alfred-Naccache, Achrafieh, Beyrouth, Liban.

Archives De Pediatrie : Organe Officiel De La Societe Francaise De Pediatrie
|May 12, 2005
PubMed
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A rare case of complete cervical dislocation in an infant presented with subtle symptoms, highlighting the potential for severe spinal cord injury despite minimal initial signs in newborns.

Area of Science:

  • Pediatric neurology
  • Neonatal spinal cord injury
  • Congenital vertebral anomalies

Background:

  • Cervical spine injuries in newborns are uncommon but can be severe.
  • Early diagnosis and intervention are crucial for managing neonatal neurological conditions.

Observation:

  • An eight-month-old infant presented with progressive left upper limb weakness following a normal delivery.
  • Clinical examination revealed neck instability and inability to sit, despite normal psychical development and lower limb mobility.

Findings:

  • Cervical radiography and CT confirmed complete cervical dislocation without congenital vertebral anomalies.
  • MRI revealed significant spinal cord stretching and compression.

Implications:

Related Experiment Videos

  • This case underscores the importance of considering serious spinal pathology even with minimal presenting symptoms in infants.
  • Highlights the diagnostic challenges and potential for delayed recognition of severe cervical spine injuries in neonates.