Presentation
Severe persistent headache with neck pain for one week.
Patient Data
Age: 50 years
Gender: Male
From the case:
Arcuate foramen
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A complete arcuate foramen present. Also known as the foramen arcuale atlantis. Elongated styloid process.
Case Discussion
Incidental finding on this 50 year old man with neck pain.
Patients with complete arcuate foramen have various significant complaints which may cause compression of the sympathetic plexus around the vertebral artery. The arcuate foramen is an underestimated structure and clinicians should be alerted to a possible arcuate foramen with patients complaining of vertigo, headache, shoulder-arm and neck pain 1.
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