Lesson of the month
An unusual cause of atlanto-axial subluxation
Philip Windrum, Gary D Wright, Michael B Finch
Rheumatology
Department, Royal Victoria Hospital, Belfast BT9 7JB
Correspondence to: Dr M B Finch.
Accepted for publication 16 June 1999
| The first 150 words of the full text of this article appear below. |
 |
Case report |
|---|
A 55 year old woman of short stature (fig 1) presented with a four
week history of paraesthesiae in the fingers of both hands. This began
suddenly and she subsequently developed a progressive weakness in all
four limbs until she was unable to walk or stand unaided despite being
previously active. For the two weeks before presentation she had
noticed an occipital headache that was exacerbated by neck movements.
There was no recent trauma to account for the development of these
symptoms. In the past she had been diagnosed as having Schmid
chondrometaphyseal dysplasia (CMD) in childhood, had undergone
bilateral total hip replacements for coxa vara and required a caesarean
section for the birth of her son. There was no known family history of
dwarfism. On examination she was of short stature (height 4' 3") with
normal facies and trunk length but short limbs. She had a thoracic
scoliosis convex
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