en تخصصي Special گزارش مورد case report <div style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:Times New Roman;"><span style="line-height:15.0pt"><span style="color:black"><b><span style="color:#24a3a0">Background and Objective:</span></b> Basilar invagination and atlas assimilation are significant craniovertebral anomalies that typically present with symptoms in the 3rd and 4th decades of life. These anomalies are concerning because they are in close proximity to the vital structures surrounding the foramen magnum, including the brainstem and spinal cord. However, these conditions are rarely reported in younger populations, making early diagnosis and intervention in such cases particularly difficult.<span style="font-family:"Times New Roman","serif""></span></span></span><br> <span style="line-height:15.0pt"><span style="color:black"><b><span style="color:#24a3a0">Case Report:</span></b> This report presents the case of a term neonate born to a primigravida mother by emergency lower segment cesarean section. The infant, who was initially discharged after resolution of respiratory distress, was readmitted at two weeks of age with generalized weakness. The initial management approach focused on treating the condition as late-onset sepsis and meningitis. However, after ruling out other causes for the generalized hypotonia, subsequent computed tomography (CT) of the head and spine revealed compressive myelopathy secondary to basilar invagination and atlas assimilation, as well as gross hydrocephalus. These findings emphasize the presence of a craniovertebral anomaly at an exceptionally early stage of life..<span style="font-family:"Times New Roman","serif""></span></span></span><br> <span style="line-height:15.0pt"><b><span style="color:#24a3a0">Conclusions:</span></b> <span style="color:#000000;">This study revealed the positive effect of the interventions on most of FMS variables, and the sports game group performing better. Due to the modality of the physical activity interventions, the integration of these two types of interventions may show a better effect.</span></span></span></span></div> Craniovertebral Anomalies, Hypotonia, Neonate, Neuroimaging 0 0 http://caspianjp.ir/browse.php?a_code=A-10-273-5&slc_lang=en&sid=1 Harsha Neelam neelam.harsha.hn@gmail.com 10031947532846004783 0009-0005-5851-1131 No Department of Neonatology, Niloufer Hospital, Hyderabad, India rakesh kotha dr.rakeshkotha@gmail.com 10031947532846004784 10031947532846004784 Yes Department of Neonatology, Niloufer Hospital, Hyderabad, India Alimelu Madireddy asvnrao@yahoo.com 10031947532846004785 10031947532846004785 No Department of Neonatology, Niloufer Hospital, Hyderabad, India