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Basilar impression in children

J B Teodori, M J Painter

    Pediatrics
    |December 1, 1984
    PubMed

    Insights

    Basilar impression, a treatable cause of childhood ataxia, involves bony abnormalities at the craniovertebral junction. Surgical intervention yielded positive outcomes for two pediatric patients presenting with ataxia and related neurological signs.

    Area of Science:

    • Neurology
    • Pediatrics
    • Orthopedic Surgery

    Background:

    • Ataxia is a frequent neurologic sign in children.
    • Basilar impression, a bony abnormality of the craniovertebral junction, is an uncommon yet treatable cause of pediatric ataxia.

    Observation:

    • Two children presented with neck stiffness, ataxia, nystagmus, and corticospinal tract signs.
    • Basilar impression was diagnosed via specific radiologic studies.

    Findings:

    • Surgical treatment was performed for both children.
    • Both patients experienced favorable surgical outcomes.

    Implications:

    • Early recognition and surgical treatment of basilar impression can effectively manage pediatric ataxia.
    • This highlights the importance of considering treatable structural causes for neurologic signs in children.

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