Subacute cervical myelopathy in a child with cerebral palsy. Secondary to torsion dystonia?

Childs Brain. Sep-Oct 1982;9(5):354-7. doi: 10.1159/000120072.

Abstract

A 12-year-old girl with a spastic dystonic tetraparesis due to cerebral palsy showed a subacute cervical myelopathy. X-ray films of the cervical spine demonstrated a subluxation of C4 on C5. Myelography and computerized tomography of the cervical spine performed under general anesthesia demonstrated only a minimal rotation of C3 with respect to C4 and a rather narrow cervical canal. In the reported case the most important factor in the spinal cord impairment was probably the anterior-slipping of the 4th cervical vertebra. The subluxation, secondary to torsion dystonia as demonstrated by its relief during general anesthesia, very likely caused a long-standing, although intermittent, spinal cord compression.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cerebral Palsy / complications*
  • Cervical Vertebrae / diagnostic imaging
  • Child
  • Dystonia / complications*
  • Female
  • Humans
  • Lordosis / diagnostic imaging
  • Myelography
  • Scoliosis / diagnostic imaging
  • Spinal Cord Compression / diagnostic imaging*
  • Torsion Abnormality