Atlantoaxial dislocation related to instilling eyedrops in a patient with Down's syndrome.

Nucci, P; de Pellegrin, M; Brancato, R · Am J Ophthalmol · 1996

case_report · Level V

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Abstract

To alert ophthalmologists of the risk of hyperextending the neck of patients with Down's syndrome while holding them to instill eyedrops. We describe a case of atlantoaxial dislocation related to instilling eyedrops in a 6-year-old girl with Down's syndrome. Early recognition of the problem allowed prompt treatment and partial recovery of the patient. Examination and clinical maneuvers in a child with Down's syndrome require gentleness and avoidance of hyperextension of the neck to prevent spinal cord injury.

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