P Nucci1, M de Pellegrin, R Brancato. 1. Department of Ophthalmology and Visual Sciences, Scientific Institute S Raffaele Hospital, University of Milan, Italy, pnucci@micronet.it
Abstract
PURPOSE: To alert ophthalmologists of the risk of hyperextending the neck of patients with Down's syndrome while holding them to instill eyedrops. METHOD: We describe a case of atlantoaxial dislocation related to instilling eyedrops in a 6-year-old girl with Down's syndrome. RESULT: Early recognition of the problem allowed prompt treatment and partial recovery of the patient. CONCLUSION: 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.
PURPOSE: To alert ophthalmologists of the risk of hyperextending the neck of patients with Down's syndrome while holding them to instill eyedrops. METHOD: We describe a case of atlantoaxial dislocation related to instilling eyedrops in a 6-year-old girl with Down's syndrome. RESULT: Early recognition of the problem allowed prompt treatment and partial recovery of the patient. CONCLUSION: 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.