Cervical spinal cord compression in a patient with Trisomy 21

  • Michale OkEmail author
  • Usha Nagaraj
  • Mohamed Mahmoud
Images in Anesthesia


Competing interests

None declared.

Editorial responsibility

This submission was handled by Dr. Hilary P. Grocott, Editor-in-Chief, Canadian Journal of Anesthesia.

Funding sources

Departmental salary; no external sources.


  1. 1.
    Martich V, Ben-Ami T, Yousefzadeh DK, Roizen NJ. Hypoplastic posterior arch of C-1 in children with Down syndrome: a double jeopardy. Radiology 1992; 183: 125-8.CrossRefGoogle Scholar
  2. 2.
    Cohen WI. Current dilemmas in Down syndrome clinical care: celiac disease, thyroid disorders, and atlanto-axial instability. Am J Med Genet C Semin Med Genet 2006; 142C: 141-8.CrossRefGoogle Scholar
  3. 3.
    Lewanda AF, Matisoff A, Revenis M, et al. Preoperative evaluation and comprehensive risk assessment for children with Down syndrome. Paediatr Anaesth 2016; 26: 356-62.CrossRefGoogle Scholar
  4. 4.
    Al Bahri RS, MacDonald DB, Mahmoud AH. Motor and somatosensory evoked potential spinal cord monitoring during intubation and neck extension for thyroidectomy in a Down syndrome boy with atlantoaxial instability. J Clin Monit Comput 2017; 31: 231-3.CrossRefGoogle Scholar

Copyright information

© Canadian Anesthesiologists' Society 2019

Authors and Affiliations

  1. 1.Departments of Anesthesia and Radiology, Cincinnati Children’s Hospital Medical CenterUniversity of Cincinnati School of MedicineCincinnatiUSA

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