Atlantooccipital dislocation clinical features [Neurosurgery Wiki]

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====== Atlantooccipital dislocation clinical features ======

1. may be neurologically intact, therefore must be ruled out in any major trauma

2. bulbar-cervical dissociation 

3. may have lower cranial nerve deficits (as well as VI palsies) ± cervical cord injury

4. worsening neurologic deficit with the application of cervical traction: check lateral C-spine films
immediately after applying traction.

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see [[Hypoglossal nerve palsy]] in a case of spontaneous [[atlantooccipital dislocation]] - a rare clinical finding in a rare clinical entity. And its complete recovery following corrective surgery
((Uppar AM, Pruthi N. Hypoglossal nerve palsy in a case of spontaneous
atlanto-occipital dislocation - a rare clinical finding in a rare clinical
entity. And its complete recovery following corrective surgery. World Neurosurg. 
2020 Jan 25. pii: S1878-8750(20)30139-X. doi: 10.1016/j.wneu.2020.01.121. [Epub
ahead of print] PubMed PMID: 31991230.
)).