RT Journal Article
SR Electronic
T1 Thalamic syndrome as the heralding manifestation of atlantoaxial dislocation
JF BMJ Case Reports
FD BMJ Publishing Group Ltd
SP bcr2012007712
DO 10.1136/bcr-2012-007712
VO 2013
A1 Rajesh Verma
A1 Ritesh Sahu
A1 B K Ojha
A1 Vivek Junewar
YR 2013
UL http://casereports.bmj.com/content/2013/bcr-2012-007712.abstract
AB In India, Atlantoaxial dislocation (AAD) is the commonest skeletal craniovertebral junction (CVJ) anomaly, followed by occipitalisation of atlas and basilar invagination. The usual presentation is progressive neurological deficit (76–95% cases) involving the high cervical cord, lower brainstem and cranial nerves. The association between vertebro-basilar insufficiency and skeletal CVJ anomalies is well recognised and angiographic abnormalities of the vertebrobasilar arteries and their branches have been reported; however, initial presentation of CVJ anomaly as thalamic syndrome due to posterior circulation stroke is extremely rare. Here, we report one such rare case of thalamic syndrome as the initial presentation of CVJ anomaly with AAD.