Isolated Idiopathic Cervical Dystonia with a Rare Type of Atlantoaxial Dislocation. A Case Report and a Short Literature Review
Dakheel A Aldakheel1,2 1College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia; 2Department of Orthopaedic Surgery, King Fahd Hospital of the University, Khobar, Saudi ArabiaCorrespondence: Dakheel A Aldakheel, Email daldakheel@iau.edu.saIntroduction: Dystonia is a prevale...
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Dove Medical Press
2025-02-01
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| author | Aldakheel DA |
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| description | Dakheel A Aldakheel1,2 1College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia; 2Department of Orthopaedic Surgery, King Fahd Hospital of the University, Khobar, Saudi ArabiaCorrespondence: Dakheel A Aldakheel, Email daldakheel@iau.edu.saIntroduction: Dystonia is a prevalent movement disorder characterized by involuntary muscle contractions, and cervical dystonia is among the most common forms. This report presents a rare case of severe isolated cervical dystonia in a young male patient that progressed to type IV atlantoaxial rotatory subluxation, highlighting the clinical presentation and diagnostic challenges associated with this condition.Case Description: A 27-year-old male patient presented with abnormal head posture and severe cervical pain. Clinical examinations revealed severe cervical muscle spasms and a unique head posture, as if he was looking at the tip of his right shoulder. Radiological evaluation revealed a type IV atlantoaxial rotatory subluxation. Despite initial attempt of close reduction under anesthesia, recurrence of the subluxation occurred, and surgical intervention was necessary.Conclusion: This case underscores the importance of thorough clinical evaluation and imaging in the diagnosis of isolated cervical dystonia, particularly given its potential to present with atypical features. These findings suggest that early recognition and intervention may be critical for preventing complications and improving patient outcomes.Keywords: dystonia, cervical dystonia, atlantoaxial rotatory subluxation, movement disorder, surgical intervention, clinical diagnosis |
| format | Article |
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| institution | Kabale University |
| issn | 1179-1462 |
| language | English |
| publishDate | 2025-02-01 |
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| spelling | doaj-art-33fdb17df4a142b790e174f7a0df28c22025-02-06T16:40:25ZengDove Medical PressOrthopedic Research and Reviews1179-14622025-02-01Volume 17556099952Isolated Idiopathic Cervical Dystonia with a Rare Type of Atlantoaxial Dislocation. A Case Report and a Short Literature ReviewAldakheel DADakheel A Aldakheel1,2 1College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia; 2Department of Orthopaedic Surgery, King Fahd Hospital of the University, Khobar, Saudi ArabiaCorrespondence: Dakheel A Aldakheel, Email daldakheel@iau.edu.saIntroduction: Dystonia is a prevalent movement disorder characterized by involuntary muscle contractions, and cervical dystonia is among the most common forms. This report presents a rare case of severe isolated cervical dystonia in a young male patient that progressed to type IV atlantoaxial rotatory subluxation, highlighting the clinical presentation and diagnostic challenges associated with this condition.Case Description: A 27-year-old male patient presented with abnormal head posture and severe cervical pain. Clinical examinations revealed severe cervical muscle spasms and a unique head posture, as if he was looking at the tip of his right shoulder. Radiological evaluation revealed a type IV atlantoaxial rotatory subluxation. Despite initial attempt of close reduction under anesthesia, recurrence of the subluxation occurred, and surgical intervention was necessary.Conclusion: This case underscores the importance of thorough clinical evaluation and imaging in the diagnosis of isolated cervical dystonia, particularly given its potential to present with atypical features. These findings suggest that early recognition and intervention may be critical for preventing complications and improving patient outcomes.Keywords: dystonia, cervical dystonia, atlantoaxial rotatory subluxation, movement disorder, surgical intervention, clinical diagnosishttps://www.dovepress.com/isolated-idiopathic-cervical-dystonia-with-a-rare-type-of-atlantoaxial-peer-reviewed-fulltext-article-ORRdystoniacervical dystoniaatlantoaxial rotatory subluxationmovement disordersurgical interventionclinical diagnosis. |
| spellingShingle | Aldakheel DA Isolated Idiopathic Cervical Dystonia with a Rare Type of Atlantoaxial Dislocation. A Case Report and a Short Literature Review Orthopedic Research and Reviews dystonia cervical dystonia atlantoaxial rotatory subluxation movement disorder surgical intervention clinical diagnosis. |
| title | Isolated Idiopathic Cervical Dystonia with a Rare Type of Atlantoaxial Dislocation. A Case Report and a Short Literature Review |
| title_full | Isolated Idiopathic Cervical Dystonia with a Rare Type of Atlantoaxial Dislocation. A Case Report and a Short Literature Review |
| title_fullStr | Isolated Idiopathic Cervical Dystonia with a Rare Type of Atlantoaxial Dislocation. A Case Report and a Short Literature Review |
| title_full_unstemmed | Isolated Idiopathic Cervical Dystonia with a Rare Type of Atlantoaxial Dislocation. A Case Report and a Short Literature Review |
| title_short | Isolated Idiopathic Cervical Dystonia with a Rare Type of Atlantoaxial Dislocation. A Case Report and a Short Literature Review |
| title_sort | isolated idiopathic cervical dystonia with a rare type of atlantoaxial dislocation a case report and a short literature review |
| topic | dystonia cervical dystonia atlantoaxial rotatory subluxation movement disorder surgical intervention clinical diagnosis. |
| url | https://www.dovepress.com/isolated-idiopathic-cervical-dystonia-with-a-rare-type-of-atlantoaxial-peer-reviewed-fulltext-article-ORR |
| work_keys_str_mv | AT aldakheelda isolatedidiopathiccervicaldystoniawithararetypeofatlantoaxialdislocationacasereportandashortliteraturereview |