Journal of Craniovertebral Junction and Spine

CASE REPORT
Year
: 2016  |  Volume : 7  |  Issue : 2  |  Page : 115--117

Congenital defects of C1 arches and odontoid process in a child with Down俟Q製 syndrome: A case presentation


Catherine Hatzantonis, Samiul Muquit, Luigi Aurelio Nasto, Hossein Mehdian 
 Centre of Spinal Studies, Queen's Medical Centre, Nottingham, United Kingdom

Correspondence Address:
Catherine Hatzantonis
Centre for Spinal Studies and Surgery, Queen俟Q製 Medical Centre, D Floor West, Block, Derby Road, Nottingham NG72UH
United Kingdom

We present the case of a 2-year-old child with Down俟Q製 syndrome who presented to our unit with torticollis. Imaging studies revealed the rare occurrence of anterior and posterior C1 arch defects, absent odontoid process, and atlantoaxial subluxation. We managed her conservatively for 3 years without neurological deficits or worsening of atlantoaxial subluxation. We discuss the rare occurrences of anterior and posterior arch defects of the atlas, the radiological presentations of axis defects in patients, and the occurrence of atlantoaxial instability in patients with Down俟Q製 syndrome. Management options with consideration to surgery in asymptomatic and symptomatic patients are also discussed.


How to cite this article:
Hatzantonis C, Muquit S, Nasto LA, Mehdian H. Congenital defects of C1 arches and odontoid process in a child with Down's syndrome: A case presentation.J Craniovert Jun Spine 2016;7:115-117


How to cite this URL:
Hatzantonis C, Muquit S, Nasto LA, Mehdian H. Congenital defects of C1 arches and odontoid process in a child with Down's syndrome: A case presentation. J Craniovert Jun Spine [serial online] 2016 [cited 2021 May 6 ];7:115-117
Available from: https://www.jcvjs.com/article.asp?issn=0974-8237;year=2016;volume=7;issue=2;spage=115;epage=117;aulast=Hatzantonis;type=0