H.B. - This is a 40 year old woman suffering from Rheumatoid arthritis. She was on medications for the same for 6 years. She presented to us with sudden weakness in all four limbs, and was unable to use her hands and walk for 5 days. MRI revealed an atlantoaxial dislocation with severe spinal cord compression. She was immediately operated and the dislocation was reduced in anatomical position and fixed with two transarticular screws. Fortunately, she recovered and regained her ability to walk and use her hands in 3 months after surgery.
