Asymptomatic moyamoya syndrome, atlantoaxial subluxation and basal ganglia calcification in a child with Down syndrome

Down syndrome, the most common chromosomal abnormality, may be associated with various neurologic complications such as moyamoya syndrome, cervical spinal cord compression due to atlantoaxial subluxation, and basal ganglia damage, as well as epileptic seizures and stroke. Many cases of Down syndrome...

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Main Authors: Kyung Yeon Lee, Kun-Soo Lee, Young Cheol Weon
Format: Article
Language:English
Published: Korean Pediatric Society 2013-12-01
Series:Korean Journal of Pediatrics
Subjects:
Online Access:http://kjp.or.kr/upload/pdf/kjped-56-540.pdf
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author Kyung Yeon Lee
Kun-Soo Lee
Young Cheol Weon
author_facet Kyung Yeon Lee
Kun-Soo Lee
Young Cheol Weon
author_sort Kyung Yeon Lee
collection DOAJ
description Down syndrome, the most common chromosomal abnormality, may be associated with various neurologic complications such as moyamoya syndrome, cervical spinal cord compression due to atlantoaxial subluxation, and basal ganglia damage, as well as epileptic seizures and stroke. Many cases of Down syndrome accompanied by isolated neurologic manifestations have been reported in children; however, Down syndrome with multiple neurologic conditions is rare. Here, we have reported a case of Down syndrome in a 10-year-old girl who presented with asymptomatic moyamoya syndrome, atlantoaxial subluxation with spinal cord compression, and basal ganglia calcification. To the best of our knowledge, this is the first report of Down syndrome, in a child, which was accompanied by these 3 neurologic complications simultaneously. As seen in this case, patients with Down syndrome may have neurologic conditions without any obvious neurologic symptoms; hence, patients with Down syndrome should be carefully examined for the presence of neurologic conditions.
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spelling doaj.art-eb8bf53b51a54ffb801b902744cfdd1f2022-12-21T20:36:32ZengKorean Pediatric SocietyKorean Journal of Pediatrics1738-10612092-72582013-12-01561254054310.3345/kjp.2013.56.12.5402013600023Asymptomatic moyamoya syndrome, atlantoaxial subluxation and basal ganglia calcification in a child with Down syndromeKyung Yeon Lee0Kun-Soo Lee1Young Cheol Weon2Department of Pediatrics, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.Department of Neurosurgery, Inje University Busan Paik Hospital, Busan, Korea.Department of Radiology, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.Down syndrome, the most common chromosomal abnormality, may be associated with various neurologic complications such as moyamoya syndrome, cervical spinal cord compression due to atlantoaxial subluxation, and basal ganglia damage, as well as epileptic seizures and stroke. Many cases of Down syndrome accompanied by isolated neurologic manifestations have been reported in children; however, Down syndrome with multiple neurologic conditions is rare. Here, we have reported a case of Down syndrome in a 10-year-old girl who presented with asymptomatic moyamoya syndrome, atlantoaxial subluxation with spinal cord compression, and basal ganglia calcification. To the best of our knowledge, this is the first report of Down syndrome, in a child, which was accompanied by these 3 neurologic complications simultaneously. As seen in this case, patients with Down syndrome may have neurologic conditions without any obvious neurologic symptoms; hence, patients with Down syndrome should be carefully examined for the presence of neurologic conditions.http://kjp.or.kr/upload/pdf/kjped-56-540.pdfDown syndromeMoyamoya diseaseAtlantoaxial instabilityBasal ganglia calcification
spellingShingle Kyung Yeon Lee
Kun-Soo Lee
Young Cheol Weon
Asymptomatic moyamoya syndrome, atlantoaxial subluxation and basal ganglia calcification in a child with Down syndrome
Korean Journal of Pediatrics
Down syndrome
Moyamoya disease
Atlantoaxial instability
Basal ganglia calcification
title Asymptomatic moyamoya syndrome, atlantoaxial subluxation and basal ganglia calcification in a child with Down syndrome
title_full Asymptomatic moyamoya syndrome, atlantoaxial subluxation and basal ganglia calcification in a child with Down syndrome
title_fullStr Asymptomatic moyamoya syndrome, atlantoaxial subluxation and basal ganglia calcification in a child with Down syndrome
title_full_unstemmed Asymptomatic moyamoya syndrome, atlantoaxial subluxation and basal ganglia calcification in a child with Down syndrome
title_short Asymptomatic moyamoya syndrome, atlantoaxial subluxation and basal ganglia calcification in a child with Down syndrome
title_sort asymptomatic moyamoya syndrome atlantoaxial subluxation and basal ganglia calcification in a child with down syndrome
topic Down syndrome
Moyamoya disease
Atlantoaxial instability
Basal ganglia calcification
url http://kjp.or.kr/upload/pdf/kjped-56-540.pdf
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AT kunsoolee asymptomaticmoyamoyasyndromeatlantoaxialsubluxationandbasalgangliacalcificationinachildwithdownsyndrome
AT youngcheolweon asymptomaticmoyamoyasyndromeatlantoaxialsubluxationandbasalgangliacalcificationinachildwithdownsyndrome