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An achondroplasic case with foramen magnum stenosis, hydrocephaly, cortical atrophy, respiratory failure and sympathetic dysfunction.
[achondroplasia]
Achondroplasia
is
a
relatively
frequent
genetic
disorder
that
may
lead
to
limb
weakness
,
motor
-
mental
retardation
,
hydrocephaly
,
and
respiratory
disorders
.
In
this
pathology
,
foramen
magnum
stenosis
and
accompanying
disorders
like
respiratory
depression
is
well
documented
.
A
2
.
5
year
-old
child
with
the
diagnosis
of
achondroplasia
admitted
to
our
clinic
with
severe
respiratory
depression
,
limb
weakness
,
and
motor
mental
retardation
as
well
as
sympathetic
dysfunction
.
In
radiologic
evaluations
,
severe
foramen
magnum
stenosis
was
detected
.
The
patient
was
operated
and
posterior
fossa
decompression
was
accomplished
to
prevent
compression
of
respiratory
centers
and
neurons
.
This
case
is
unique
with
the
narrowest
foramen
magnum
reported
up
to
date
and
the
sympathetic
dysfunction
which
is
not
reported
as
a
complication
in
achondroplasic
patients
.
The
authors
review
the
relevant
literature
,
focusing
on
the
indications
for
cervicomedullary
decompression
in
infants
with
achondroplasia
.
Diseases
Validation
Diseases presenting
"posterior fossa decompression"
symptom
achondroplasia
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