Atlanto-axial separation

Case contributed by Frank Gaillard
Diagnosis almost certain

Presentation

Trauma.

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

ct

Minor widening of the C1/2 joints is noted bilaterally. No vertebral artery injury was detected on CTA (not shown). 

Case Discussion

Widening such as this should be viewed with suspicion and careful neurological examination and MRI carried out. Follow-up for this patient is lost to the vagaries of history. 

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