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Complex congenital atlantoaxial dislocation in an infant: case report

Mahesh Krishna Pillai1, Rajeev Kariyattil2, Rajinder Kumar2

  • 1Department of Neurosurgery, Sultan Qaboos University Hospital, PB 38, Al Khaud, 123, Muscat, Oman. kaniyampadikkal@yahoo.co.in.

Child'S Nervous System : Chns : Official Journal of the International Society for Pediatric Neurosurgery
|January 31, 2018
PubMed

Insights

This study presents the youngest case of non-syndromic congenital atlantoaxial dislocation in an infant. Management challenges and unique radiological findings in this rare condition are discussed.

Area of Science:

  • Pediatric Neurology
  • Orthopedic Surgery
  • Medical Imaging

Background:

  • Congenital atlantoaxial dislocation (CAAD) is a rare spinal malformation.
  • Early presentation in infancy poses unique management challenges.

Observation:

  • A 9-month-old female infant presented with progressive quadriparesis and respiratory failure.
  • This case represents the youngest reported instance of non-syndromic CAAD.
  • The infant exhibited a unique combination of lateral, rotatory, and antero-posterior atlantoaxial dislocation.

Findings:

  • Atypical clinical presentation in infants.
  • Unique radiological findings specific to early-onset CAAD.
  • Limited therapeutic options for managing CAAD in very young children.

Implications:

  • Highlights the need for early diagnosis and tailored management strategies for CAAD.
  • Contributes to understanding the spectrum of congenital spinal disorders.
  • Informs clinical decision-making for rare pediatric spinal conditions.

Keywords:
Atlantoaxial jointDislocationFusionRotatory subluxation

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