1. • M Ramanamma,48/F, 1297978
• Diagnosis – Atlanto axial dislocation
• C/o neck pain for 5 months, sharp type, more on
bending forward
• H/o paresthesias in all limbs, more on right side
upper and lower limbs
• H/o pain radiating to both upper and lower limbs,
more in right upper limb.
• H/o slippage of objects from right hand, chappals
from right feet,.
• No h/o trauma, bowel or bladder complains,
weakness of limbs.
2. • GCS- E4V5M6
CNS- Motor system
Tone- UL- Normal
LL- grade 1 hypertonia
Bulk- normal
Power- Right Left
Upper limb
Shoulder- 4+/5 4+/5
Elbow- 4+/5 4+/5
Wrist- 4+/5 4+/5
HG 90% 100%
Lower limb
Hip- 4+/5 4+/5
Knee- 4+/5 4+/5
Ankle- 4+/5 4+/5
EHL- 4+/5 4+/5
• DTR: BJ TJ S KJ AJ
Right - 3+ 3+ 3+ 3+ 3+
Left - 3+ 3+ 3+ 3+ 3+
Plantars- B/L extensors