COMPUTERIZED-TOMOGRAPHY IN PERSONS WITH DOWN-SYNDROME AND ATLANTOAXIAL INSTABILITY

被引:21
作者
PUESCHEL, SM
MOON, AC
SCOLA, FH
机构
[1] Child Development Center, Department of Pediatrics Department of Radiology, Rhode Island Hospital Brown University Program in Medicine, Providence, RI
关键词
ATLANTOAXIAL INSTABILITY; DOWN SYNDROME; CT; DIAGNOSIS;
D O I
10.1097/00007632-199207000-00001
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Atlantoaxial instability has been reported to occur in 9-31% of persons with Down syndrome. The authors studied a subsample of patients with this chromosomal' disorder who had both routine roentgenograms and computerized tomographic examinations. Computerized tomography revealed numerous skeletal anomalies of the C1-C2 region as well as spinal cord compression that were not visualized on plain roentgenograms. In addition, an apparent discrepancy of the atlanto-dens interval measurements between the two procedures was noted. The measurements of the plain roentgenograms were significantly greater than those obtained by computerized tomography, which is due to the magnification factor in plain roentgenograms.
引用
收藏
页码:735 / 737
页数:3
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共 23 条
  • [1] Power D., Some early surgical cases-The Edwin Smith Papyrus, Brit J Surg, 21, pp. 1-12, (1933)
  • [2] Spitzer R., Rabinowitch J.Y., Wybar K.C., A study of abnor-malities of the skull, teeth, and lenses in mongolism, Can Med Assoc J, 84, pp. 567-572, (1961)
  • [3] Tishler J.M., Martel W., Dislocation of the atlas in mongolism: Preliminary report, Radiology, 84, pp. 904-906, (1965)
  • [4] Martel W., Tishler J.M., Observations on the spine in mongoloidism, Am J Roentgenol Radium Ther Nucl Med, 94, pp. 630-638, (1966)
  • [5] Dzenitis A.J., Spontaneous atlanto-axial dislocation in a mongoloid child with spinal cord compression: Case report, J Neurosurg, 25, pp. 458-460, (1966)
  • [6] Curtis B.H., Blank S., Fisher R.L., Atlanto-axial dislocation in Down’s’s syndrome: Report of two patients requiring surgical correction, JAMA, 205, pp. 212-213, (1968)
  • [7] Martel W., Uyham R, Stimson CW: Subluxation of the atlas causing spinal cord compression in a case of Down’s’s syndrome with a “manifestation of an occipital vertebra, Radiology, 93, pp. 839-840, (1969)
  • [8] Aung M.H., Atlanto-axial dislocation in Down’s syndrome: Report of a case with spinal cord compression and review of the literature, Bull Los Angeles Neurol Soc, 38, pp. 197-201, (1973)
  • [9] Finerman G., Sakai D., Weingarten S., Atlanto-axial dislocation with spinal cord compression in a mongoloid child: A case report, J Bone Joint Surg, 58A, pp. 408-409, (1976)
  • [10] Semine A.A., Ertel A.N., Goldberg M.J., Bull M.J., Cervical spine instability in children with Down syndrome (Trisomy 21), J Bone Joint Surg, 60, pp. 649-652, (1978)