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- J Agarwal, M S Tandon, D Singh, and P Ganjoo.
- Department of Anaesthesia, G.B.Pant Hospital, New Delhi, India.
- Anaesthesia. 2013 May 1;68(5):523-6.
AbstractNeurological deterioration in a child following routine surgery, although rare, has potentially life threatening consequences. We report the case of a child who, following adentonsillectomy, developed quadriplegia and acute respiratory distress due to previously undetected atlanto-axial instability. Patients with atlanto-axial instability often have mild or non-specific symptoms, despite severe cervical cord compression. Subtle manifestations may be ignored or attributed to other disease processes, which render patients with undiagnosed atlanto-axial instability at risk of serious neurological injury during general anaesthesia, particularly at the time of laryngoscopy and tracheal intubation.Anaesthesia © 2013 The Association of Anaesthetists of Great Britain and Ireland.
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