Abstract
Abstract: An atlanto-occipital dislocation, also referred to as internal decapitation, was once thought to be a universally fatal injury as it occurs when the skull separates from the spinal column as a result of ligamentous injury. This publication follows the course of a 3 year old female who experienced an atlanto-occipital dislocation from injury to follow-up. Current imaging and diagnostics are discussed along with criteria for diagnosis and recommended treatment.