Neurology India
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The craniovertebral junction has a predilection for a variety of congenital anomalies due to its complex development. The association of atlantoaxial dislocation (AAD) with the maldevelopment of the posterior arch of axis is extremely rare. We report two such cases and present the management strategy.
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The authors analyze epidemiology, location, clinical profile and outcome of double extradural hematoma (EDH) or EDH at more than one site. ⋯ Majority of the double EDH cases presented with a low GCS and there was a relatively quick neurological deterioration in these cases.
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Clinical Trial
Craniovertebral realignment for basilar invagination and atlantoaxial dislocation secondary to rheumatoid arthritis.
We present our experience of treating nine consecutive cases of rheumatoid arthritis involving the craniovertebral junction by atlantoaxial joint manipulation and attempts towards restoration of craniovertebral region alignments. ⋯ Manipulation of the atlantoaxial joints and restoring the anatomical craniovertebral alignments in selected cases of rheumatoid arthritis involving the craniovertebral junction leads to remarkable and sustained clinical recovery.
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Case Reports
Total external ophthalmoplegia induced by phenytoin: a case report and review of literature.
A 28-year-old male developed total external ophthalmoplegia following oral administration of phenytoin. The case is reported and its significance is discussed.