Neurologia medico-chirurgica
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Neurol. Med. Chir. (Tokyo) · Oct 1995
Review Case ReportsInstrumentational posterior fusion for atlanto-axial subluxation in a young child with Down's syndrome--case report.
A 3-year-old girl with Down's syndrome and myelopathy caused by atlanto-axial subluxation (AAS) was treated by C-1 to C-2 posterior fusion with a one-piece cervical device (OPCD). Instrumentation was required because the posterior arch of C-1 was too tiny and fragile to tolerate wiring. ⋯ She had been confined to bed by severe quadriparesis, but became able to walk without assistance 8 months after surgery. We recommend OPCD instrumentation and postoperative immobilization using a hard plastic corset for the treatment of AAS associated with Down's syndrome in young children.
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Neurol. Med. Chir. (Tokyo) · Oct 1995
Review Case ReportsEpidural hematoma associated with cephalohematoma in a neonate--case report.
A female neonate presented with cephalohematoma over the temporoparietal region on the right side. Computed tomography (CT) revealed the presence of an underlying epidural hematoma (EDH) and associated skull fracture with communication between the hematomas. ⋯ CT revealed cure without the need for an operative procedure. Aspiration is indicated for neonatal EDH with mild symptoms and liquefied cephalohematoma.