Atlanto-axial separation

Case contributed by A.Prof Frank Gaillard

Presentation

Trauma.

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. Followup for this patient is lost to the vagaries of history. 

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Case information

rID: 4600
Published: 19th Sep 2008
Last edited: 13th Aug 2019
Inclusion in quiz mode: Included

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