{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T05:01:06Z","timestamp":1791176466698,"version":"4.1.0"},"reference-count":11,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2013,1,14]],"date-time":"2013-01-14T00:00:00Z","timestamp":1358121600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Anaesthesia"],"published-print":{"date-parts":[[2013,5]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:p>Neurological deterioration in a child following routine surgery, although rare, has potentially life threatening consequences. We report the case of a child who, following adentonsillectomy, developed quadriplegia and acute respiratory distress due to previously undetected atlanto\u2010axial instability. Patients with atlanto\u2010axial instability often have mild or non\u2010specific symptoms, despite severe cervical cord compression. Subtle manifestations may be ignored or attributed to other disease processes, which render patients with undiagnosed atlanto\u2010axial instability at risk of serious neurological injury during general anaesthesia, particularly at the time of laryngoscopy and tracheal intubation.<\/jats:p>","DOI":"10.1111\/anae.12118","type":"journal-article","created":{"date-parts":[[2013,1,14]],"date-time":"2013-01-14T09:29:53Z","timestamp":1358155793000},"page":"523-526","source":"Crossref","is-referenced-by-count":10,"title":["Quadriplegia in a child following adenotonsillectomy"],"prefix":"10.1111","volume":"68","author":[{"given":"J.","family":"Agarwal","sequence":"first","affiliation":[{"name":"Department of Anaesthesia G.B.Pant Hospital New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. S.","family":"Tandon","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia G.B.Pant Hospital New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery G.B.Pant Hospital New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Ganjoo","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia G.B.Pant Hospital New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,1,14]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.126.1.45"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1213\/00000539-198701000-00016"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.2011.06890.x"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-200411000-00028"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00381-008-0605-9"},{"key":"e_1_2_6_7_1","first-page":"386","article-title":"Management of congenital atlanto\u2010axial dislocation: some lessons learnt","volume":"50","author":"Jain VK","year":"2002","journal-title":"Neurology India"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.97.1.135"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF03007488"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/ken314"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1213\/01.ane.0000244318.77377.67"},{"key":"e_1_2_6_12_1","first-page":"245","article-title":"Grisel''s syndrome: a rare complication following adenoidectomy","volume":"25","author":"Bocciolini C","year":"2005","journal-title":"Acta Otorhinolaryngolgica Italica"}],"container-title":["Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fanae.12118","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/anae.12118","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T19:21:49Z","timestamp":1761679309000},"score":1,"resource":{"primary":{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/10.1111\/anae.12118"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,1,14]]},"references-count":11,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2013,5]]}},"alternative-id":["10.1111\/anae.12118"],"URL":"https:\/\/doi.org\/10.1111\/anae.12118","archive":["Portico"],"relation":{},"ISSN":["0003-2409","1365-2044"],"issn-type":[{"value":"0003-2409","type":"print"},{"value":"1365-2044","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,1,14]]}}}