Subacute cervical myelopathy in a child with cerebral palsy: Secondary to torsion dystonia?

L. Angelini, G. Broggi, N. Nardocci, M. Savoiardo

Research output: Contribution to journalArticle

Abstract

A 12-year-old girl with a spastic dystonic tetraparesis due to cerebral palsy showed a subacute cervical myelopathy. X-ray films of the cervical spine demonstrated a subluxation of C4 on C5. Myelography and computerized tomography of the cervical spine performed under general anesthesia demonstrated only a minimal rotation of C3 with respect to C4 and a rather narrow cervical canal. In the reported case the most important factor in the spinal cord impairment was probably the anterior slipping of the 4th cervical vertebra. The subluxation, secondary to torsion dystonia as demonstrated by its relief during general anesthesia, very likely caused a long-standing, although intermittent, spinal cord compression.

Original languageEnglish
Pages (from-to)354-357
Number of pages4
JournalPediatric Neurosurgery
Volume9
Issue number5
DOIs
Publication statusPublished - 1982

Keywords

  • Cerebral palsy
  • Computerized tomography
  • Subacute cervical myelopathy
  • Torsion dystonia

ASJC Scopus subject areas

  • Clinical Neurology
  • Pediatrics, Perinatology, and Child Health
  • Surgery

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