tuberculous spondylitis is not an uncommon disease of the spine. near one percent of all cases of spinal tuberculosis (tb) involves craniocervical junction. hypoglossal nerve palsy is not an uncommon neurological finding, but isolated involvement of the hypoglossal nerve is rare and limited to case reports or small case series. here, we report a case of craniocervical junction tuberculosis pres...

Surgically, solitary bone plasmacytoma (SBP) of the craniocervical junction (CCJ) is typically treated with cement augmentation and occipital-cervical stabilization (OCS). In the orthopedic spine literature, various surgical treatment options have been described for SBP, but only a few studies exist describing SBP of the CCJ with treatment involving cement augmentation alone. We report the case...

Leg length discrepancy (LLD) and pelvic obliquity have often been associated with scoliosis in the literature, neuromuscular contributions mentioned as being possibly involved. It is herein hypothesized that a craniocervical junction (CCJ) misalignment (CCJM) may induce imbalance leading to functional leg discrepancy, re-establishing proper alignment can result some LLD disappearance.

The craniocervical junction (CCJ) is a potential choke point for craniospinal hydrodynamics and may play a causative or contributory role in the pathogenesis and progression of neurodegenerative diseases such as Alzheimer's disease, Parkinson's disease, MS, and ALS, as well as many other neurological conditions including hydrocephalus, idiopathic intracranial hypertension, migraines, seizures, ...

A 63-year-old man developed vomiting, paraparesis, dysuria, bulbar palsy, and orthostatic hypotension over a period of 5 months. Neuroradiological examinations showed a swollen lower brainstem with a dural arteriovenous fistula at the craniocervical junction (DAVF-CCJ). A steroid was administered intravenously in the hospital to relieve brainstem edema. A few hours later, however, the patient d...

Dural arteriovenous fistula (dAVF) of the foramen magnum (FM) region is rare. Moreover, terminology dAVF very confusing in this region. In narrow sense, FM non-sinus-type with direct venous reflux to medulla oblongata or spinal cord via bridging veins (BVs) FM. Previous literature was systematically reviewed investigate clinical characteristics, angioarchitecture, and effective treatment dAVF. ...

We report our experience with the endoscopic endonasal approaches (EEA) for different craniocervical junction (CCJ) disorders to analyse outcomes and demonstrate the importance and feasibility of anterior C1 arch preservation or its reconstruction. Between January 2009 and December 2013, 10 patients underwent an endoscopic endonasal approach for different CCJ pathologies at our Institution. In ...

BACKGROUND Craniocervical junction (CCJ) anomalies and secondary syringomyelia are commonly diagnosed in Cavalier King Charles spaniel (CKCS). Familiarity with the natural history of these abnormalities is vital to understanding the disease syndrome. OBJECTIVE To evaluate magnetic resonance imaging (MRI) predictors of worsening clinical signs, syringomyelia, and morphology in CKCS longitudina...

OBJECTIVES/HYPOTHESIS Recent advances in surgical techniques have rendered the craniocervical junction (CCJ) accessible transnasally. Endoscopic endonasal transclival and transodontoid approaches are routinely performed in leading skull base centers. Usually, these approaches involve a posterior bony and mucosal septectomy, which may compromise the vascularized pedicled nasoseptal flap (PNSF), ...