损伤性围生期颈椎脱位

来源 :世界核心医学期刊文摘(儿科学分册) | 被引量 : 0次 | 上传用户:liongliong500
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We report on a case of cervical dislocation in which the severity of the lesio n contrasts with the paucity of the symptoms. An eight-month-old girl presente d with weakness of the left upper limb. She had a normal cephalic delivery. On t he following days, increased weakness of the limb showed a spontaneous, partial regression. Clinical examination at eightmonths showed a normal physical and psy chical development,a falling neck and an impossibility to maintain the sitting p osition, but a normal mobility of the lower limbs. Cervical radiography performe d showed a complete dislocation. CT confirmed the diagnosis and eliminated conge nital vertebral anomalies. Magnetic resonance imaging showed an important stretc hing and compression of the spinal cord. Cervical spine damage in the newborn ar e scarce and serious. The here reported case is characterized by a complete vert ebral dislocation associated with medullar stretching and compression, but few i nitial symptoms. We report on a case of cervical dislocation in which the severity of the lesio n contrasts with the paucity of the symptoms. An eight-month-old girl presente d with weakness of the left upper limb. She had a normal cephalic delivery. On t he following days, increased weakness of the limb showed a spontaneous, partial regression. Clinical examination at eightmonths showed a normal physical and psy chical development, a falling neck and an impossibility to maintain the sitting p Position, but a normal mobility of the lower limbs Cervical radiography performe d showed a complete dislocation. CT confirmed the diagnosis and eliminated conge nital vertebral anomalies. Magnetic resonance imaging showed an important stretc hing and compression of the spinal cord. Cervical spine damage in the newborn ar e scarce and serious. reported case is characterized by a complete vert ebral dislocation associated with medullar stretching and compression, but few i nitial symptoms.
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