Neck Tilt in a Child
1 month ago - By The Journal of Pediatrics
A 12-year-old girl presented with a two-year history of progressive neck tilt and left hemiparesis. On examination, she had left-sided torticollis which was painless, uncorrectable on active and passive neck movements, and without any palpable muscle contractures. Her limbs were spastic, with left sided motor-power of 4/5 and weak hand grip ; the rest of her neurological and general-physical examination was unremarkable. A reconstructed computed tomography of the craniovertebral junction revealed an atlantoaxial dislocation in anteroposterior direction with associated bony anomalies .
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