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  travel guide & maps : singapore - indonesia - malaysia medical conditions resources     singapore guide     editorials all singapore malaysia indonesia eg: business or abc kids or ocracoke or nature art   travel health   medical   cars technology home family business interest woman   editorials » medical » medical conditions upper limb dystonia & atlantoaxial dislocation case report by: sharma cm,kumawat bl,tripathy goutam,dixit s,ralot tarun the atlantoaxial dislocation (aad) is a fracture of the odontoid process, in such a way that the end that forms a joint with the atlas is separated from its base and kept in position only by the ligaments, which are not strong, joining it to the atlas. viagra online buy viagra cheap viagra online viagra cheap pills cheap generic viagra buy viagra online generic viagra online cheapest place to buy viagra online order viagra online without script Usually aad presents with occipital pain, others develop vertigo, brainstem signs, lower cranial nerve palsies. The brainstem findings occur with either basilar invaginations or with the alteration of the path of the vertebral artery with changing of normal anatomy. Though idiopathic cervical dystonia as a sequel to aad has been reported in literature. [1] upper limb dystonia is unusual in such cases and has never been reported from india as well as from any part of world and we report a 19-year-old male with aad who presented with limb dystonia and hemiparesis case history: a 19-year-old boy born of a non-consanguineous marriage, following a trivial trauma to the nape of neck before 2 years developed progressive spastic right hemiparesis. Three months prior to admission, he developed urinary urgency, precipitancy and constipation, and abnormal posturing of right upper limb predominantly of the hand. There was history of right hemiparesis when he was four years old, which improved spontaneously over two months. He denied history of fever, accident or vaccination prior to the present illness. His neurological examination revealed short neck, low hairline and spastic right-sided hemiparesis. There was marked hyper-reflexia and clonus with posterior column impairment without signs of spinothalamic tract involvement. This was associated with restriction of neck movements and neck spasm. There were abnormal movements of right upper limb predominantly distal, in form of repetitive sustained posturing suggestive of dystonia. The clinical, biochemical and radiological examination revealed neither evidence of rheumatoid arthritis nor any inflammatory, connective tissue disorder. Magnetic re.


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