{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T07:10:02Z","timestamp":1756278602601,"version":"3.44.0"},"reference-count":20,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>In India, Atlantoaxial dislocation (AAD) is the commonest skeletal craniovertebral junction (CVJ) anomaly, followed by occipitalisation of atlas and basilar invagination. The usual presentation is progressive neurological deficit (76\u201395% cases) involving the high cervical cord, lower brainstem and cranial nerves. The association between vertebro-basilar insufficiency and skeletal CVJ anomalies is well recognised and angiographic abnormalities of the vertebrobasilar arteries and their branches have been reported; however, initial presentation of CVJ anomaly as thalamic syndrome due to posterior circulation stroke is extremely rare. Here, we report one such rare case of thalamic syndrome as the initial presentation of CVJ anomaly with AAD.<\/jats:p>","DOI":"10.1136\/bcr-2012-007712","type":"journal-article","created":{"date-parts":[[2013,1,11]],"date-time":"2013-01-11T02:11:54Z","timestamp":1357870314000},"page":"bcr2012007712","source":"Crossref","is-referenced-by-count":3,"title":["Thalamic syndrome as the heralding manifestation of atlantoaxial dislocation"],"prefix":"10.1136","volume":"2013","author":[{"given":"Rajesh","family":"Verma","sequence":"first","affiliation":[{"name":"Department of Neurology, King George Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ritesh","family":"Sahu","sequence":"additional","affiliation":[{"name":"Department of Neurology, King George Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B K","family":"Ojha","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, King George Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vivek","family":"Junewar","sequence":"additional","affiliation":[{"name":"Department of Neurology, King George Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,1,10]]},"reference":[{"key":"2025082623361344000_2013.jan10_1.bcr2012007712.1","first-page":"455","article-title":"Myelopathy of congenital atlantoaxial dislocation","volume-title":"Advances in neurology","volume":"2","author":"Wadia","year":"1990"},{"key":"2025082623361344000_2013.jan10_1.bcr2012007712.2","first-page":"51","article-title":"Craniovertebral anomalies: the Indian scene","volume":"1","author":"Shukla","year":"1997","journal-title":"Neurosci Today"},{"key":"2025082623361344000_2013.jan10_1.bcr2012007712.3","doi-asserted-by":"publisher","DOI":"10.3109\/02688698809029599"},{"key":"2025082623361344000_2013.jan10_1.bcr2012007712.4","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/87.3.469"},{"key":"2025082623361344000_2013.jan10_1.bcr2012007712.5","doi-asserted-by":"publisher","DOI":"10.1159\/000329623"},{"key":"2025082623361344000_2013.jan10_1.bcr2012007712.6","doi-asserted-by":"crossref","first-page":"863","DOI":"10.1302\/0301-620X.76B6.7983108","article-title":"Early diagnosis of spinal tuberculosis by MRI","volume":"76","author":"Desai","year":"1994","journal-title":"J Bone Joint Surg Br"},{"key":"2025082623361344000_2013.jan10_1.bcr2012007712.7","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.61.6.560"},{"key":"2025082623361344000_2013.jan10_1.bcr2012007712.8","first-page":"521","article-title":"Le syndrome thalamique","volume":"14","author":"D\u00e9j\u00e9rine","year":"1906","journal-title":"Rev Neurol (Paris)"},{"key":"2025082623361344000_2013.jan10_1.bcr2012007712.9","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000208595.41394.95"},{"key":"2025082623361344000_2013.jan10_1.bcr2012007712.10","doi-asserted-by":"publisher","DOI":"10.1002\/ana.410230421"},{"key":"2025082623361344000_2013.jan10_1.bcr2012007712.11","unstructured":"Satishchandra P Ramdas GV Gaikwad SB . 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