{
    "abstract": "Down syndrome is the most common chromosomal abnormality associated with intellectual impairments. Unexpected deaths are common with this disease. There are certain difficulties in clarifying the cause of death because the manifestations may be quite diverse and involve many organ systems. Atlantoaxial subluxation is a dangerous complication of Down syndrome, as it may lead to cervical cord-medullary compression.\nHerein, we present a case of Down syndrome in a patient who completely recovered from cardiac arrest due to atlantoaxial subluxation. The neck was immobilized during post-cardiac arrest care, and the patient underwent surgery after 14 days. The patient could walk independently and was discharged 3 months later. At the last follow-up 5 years after surgery, the patient's general condition was good.\nPhysicians should be aware that atlantoaxial instability can cause cardiac arrest in patients with genetic syndromes.",
    "authors": [
        {
            "affiliation": "Department of Emergency and Critical Care Medicine, Shinshu University School of Medicine, Matsumoto, Japan. imamura@shinshu-u.ac.jp.",
            "firstname": "Hiroshi",
            "initials": "H",
            "lastname": "Imamura"
        },
        {
            "affiliation": "Department of Emergency and Critical Care Medicine, Shinshu University School of Medicine, Matsumoto, Japan.",
            "firstname": "Yujiro",
            "initials": "Y",
            "lastname": "Hamano"
        },
        {
            "affiliation": "Department of Emergency and Critical Care Medicine, Shinshu University School of Medicine, Matsumoto, Japan.",
            "firstname": "Hiroshi",
            "initials": "H",
            "lastname": "Kamijo"
        },
        {
            "affiliation": "Department of Emergency and Critical Care Medicine, Shinshu University School of Medicine, Matsumoto, Japan.",
            "firstname": "Michitaro",
            "initials": "M",
            "lastname": "Ichikawa"
        },
        {
            "affiliation": "Department of Emergency and Critical Care Medicine, Shinshu University School of Medicine, Matsumoto, Japan.",
            "firstname": "Yuichiro",
            "initials": "Y",
            "lastname": "Kashima"
        },
        {
            "affiliation": "Department of Orthopedic Surgery, Shinshu University School of Medicine, Matsumoto, Japan.",
            "firstname": "Hiroki",
            "initials": "H",
            "lastname": "Oba"
        }
    ],
    "conclusions": null,
    "copyrights": "\u00a9 2024. The Author(s), under exclusive licence to International Spinal Cord Society.",
    "doi": "10.1038/s41394-024-00649-y\n10.1056/NEJMra1706537\n10.1227/01.NEU.0000365803.22786.F0\n10.1007/s00256-023-04297-5\n10.1016/j.jflm.2007.01.001\n10.1590/s1807-59322011000500001\n10.1016/s0735-1097(87)80158-4\n10.1053/mr.2000.3848\n10.1097/BRS.0b013e31823b3ded\n10.1002/ajmg.a.38512\n10.1136/adc.66.7.876\n10.1097/00007632-199004000-00017\n10.1016/j.jflm.2018.11.011\n10.1038/s41394-019-0247-z\n10.1161/CIR.0000000000000916",
    "journal": "Spinal cord series and cases",
    "keywords": [],
    "methods": null,
    "publication_date": "2024-05-26",
    "pubmed_id": "38796439\n32521135\n20173525\n36773086\n17961872\n21789369\n3597994\n10768544\n22045003\n33532105\n29130597\n1830735\n2353281\n30528850\n31011575\n31871765\n33081529",
    "results": null,
    "title": "Successful recovery from cardiac arrest due to atlantoaxial subluxation in Down syndrome: a case report.",
    "xml": "<Element 'PubmedArticle' at 0x788505c53380>"
}