Case: A 3-year-old child weighing 9kg visited Physician’s clinic with symptoms of sudden weakness of the upper and lower limbs with an inability to walk. At the age of 1 year, she had shown a delay in achieving developmental milestones. She had a short neck, pectus carinatum thoracolumbar kyphoscoliosis with a suspected unstable cervical spine based on clinical deterioration and cervical spine X-ray [Figure 1]. Cardiovascular, abdominal, and hematological examinations were unremarkable.
Airway assessment could not be done as the child was uncooperative. A high-risk informed consent was taken in view of the difficult airway and possible cervical instability which could worsen cord compression during the procedure. Imaging Findings: MRI represented cord compression involving the cervicomedullary junction, hypoplastic split atlas, and posterior atlantooccipital fusion [Figure 2]. CT…
