http://www.appliedradiology.com RSS Feed on Applied Radiologyhttp://www.appliedradiology.com//Digital-Portals/CT-Community/Neurofibromatosis-and-atlantoaxial-dislocation.aspx<p>A 10-year-old boy presented with acute onset flaccid quadriparesis following a minor fall when he was 6 years old, which was managed conservatively on skin traction. After 3 months of treatment he improved with some residual weakness in all 4 limbs and frequent falls while walking. The patient had a 4-year history of neck tilt to the right side, along with painful restricted movements of the neck. On physical examination, there were multiple café-au-lait spots and presence of axillary freckles. The neck was short, tilted to the right with restricted movements with a normal hairline. Motor system examination showed evidence of generalized wasting with power grade 2/3 in all limbs. There was unsustained ankle clonus and both plantars were up going. There were no flexor spasms and no fasciculations. He had a spastic gait with no cerebellar or meningeal signs and no lobar symptoms. </p>Thursday, 12 Aug 2010 12:00:33 GMT