• Am. J. Ophthalmol. · Dec 1996

    Case Reports

    Atlantoaxial dislocation related to instilling eyedrops in a patient with Down's syndrome.

    • P Nucci, M de Pellegrin, and R Brancato.
    • Department of Ophthalmology and Visual Sciences, Scientific Institute S Raffaele Hospital, University of Milan, Italy, pnucci@micronet.it
    • Am. J. Ophthalmol. 1996 Dec 1;122(6):908-10.

    PurposeTo alert ophthalmologists of the risk of hyperextending the neck of patients with Down's syndrome while holding them to instill eyedrops.MethodWe describe a case of atlantoaxial dislocation related to instilling eyedrops in a 6-year-old girl with Down's syndrome.ResultEarly recognition of the problem allowed prompt treatment and partial recovery of the patient.ConclusionExamination and clinical maneuvers in a child with Down's syndrome require gentleness and avoidance of hyperextension of the neck to prevent spinal cord injury.

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