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• A-A joints allow less flexion – extension
motion than rotation.
• There is greater movement with extention
(upto 10o) than with flexion (upto 5o).
Cerebro-spinal MRI
(a,b,c) performed in a
27-year-old female
presenting with
intense headache and
craniofacial
deformities. Sagittal
T1 (b) and T2 (c)
weighted images
show foramen
magnum stenosis
producing a
compression of
bulbomedullary
junction.
CT scan (d) and
sagittal (e) show
additional features
such as macrocephaly
and thickening of the
cranial vault.
FLORES M.et al: The Klippel−Feil Syndrome: A Case Report. J. Can. Dent. Assoc. 2004
NARANG M.et al, : Uncommon manifestation of Klippel Feil Syndrome. Ind. Pediat. 2006
ODABAS D et al: Report of a girl with Klippel−Feil syndrome and Poland anomaly. Genet.
Couns. 2004
NIEBERG L.G.et al: Dento−skeletal implications of Klippel−Feil Syndrome (A case report).
NYSDJ 2005.
GUDEMEZ E.: Klippel−Feil syndrome and associated con− genital abnormalities: evaluation of
23 cases. Acta Orthop Traumatol Turc 2006
OAKES W.J.et al: Investigations into the association between cervicomedullary neuroschisis and mirror
movements in patients with Klippel−Feil Syndrome. AJNR Am. J. Neuroradiol. 2002
• Chiari-I malformation in a 40-year-old male. Sagittal (a) and coronal (b) T2
weighted images show caudal tonsillar ectopia obstructing the foramen magnum
associated with a syringomyelia cavity.
• Chiari-I malformation in a 12-year-old boy. Sagittal (a) and coronal
(b) T2 weighted images show caudal tonsillar ectopia associated
with hydrocephalus.
Chiari-II malformation in
1-year-old infant
associated with
myelomeningocele (b).
Sagittal T2 weighted
images (a) shows smaller
posterior cranial fossa
with downward
displacement of the
cerebellar tonsils, the
fourth ventricle and the
bulbo-medullary junction
into the foramen magnum
and cervical spinal canal.
• Symptoms vary depending on whether the spinal cord,
brain stem, nerves or their blood supply is affected by the
pressure.
Symptoms become apparent when the neck is bent. They
include
OCCIPITALIZATION OF ATLAS
• incomplete fusion of odontoid to C2 body
cv junction anamolies
cv junction anamolies
cv junction anamolies
cv junction anamolies
cv junction anamolies

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cv junction anamolies

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  • 15. • A-A joints allow less flexion – extension motion than rotation. • There is greater movement with extention (upto 10o) than with flexion (upto 5o).
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  • 40.
  • 41. Cerebro-spinal MRI (a,b,c) performed in a 27-year-old female presenting with intense headache and craniofacial deformities. Sagittal T1 (b) and T2 (c) weighted images show foramen magnum stenosis producing a compression of bulbomedullary junction. CT scan (d) and sagittal (e) show additional features such as macrocephaly and thickening of the cranial vault.
  • 42.
  • 43.
  • 44.
  • 45.
  • 46.
  • 47. FLORES M.et al: The Klippel−Feil Syndrome: A Case Report. J. Can. Dent. Assoc. 2004
  • 48.
  • 49. NARANG M.et al, : Uncommon manifestation of Klippel Feil Syndrome. Ind. Pediat. 2006 ODABAS D et al: Report of a girl with Klippel−Feil syndrome and Poland anomaly. Genet. Couns. 2004
  • 50. NIEBERG L.G.et al: Dento−skeletal implications of Klippel−Feil Syndrome (A case report). NYSDJ 2005.
  • 51.
  • 52. GUDEMEZ E.: Klippel−Feil syndrome and associated con− genital abnormalities: evaluation of 23 cases. Acta Orthop Traumatol Turc 2006
  • 53. OAKES W.J.et al: Investigations into the association between cervicomedullary neuroschisis and mirror movements in patients with Klippel−Feil Syndrome. AJNR Am. J. Neuroradiol. 2002
  • 54.
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  • 65.
  • 66. • Chiari-I malformation in a 40-year-old male. Sagittal (a) and coronal (b) T2 weighted images show caudal tonsillar ectopia obstructing the foramen magnum associated with a syringomyelia cavity.
  • 67. • Chiari-I malformation in a 12-year-old boy. Sagittal (a) and coronal (b) T2 weighted images show caudal tonsillar ectopia associated with hydrocephalus.
  • 68.
  • 69.
  • 70. Chiari-II malformation in 1-year-old infant associated with myelomeningocele (b). Sagittal T2 weighted images (a) shows smaller posterior cranial fossa with downward displacement of the cerebellar tonsils, the fourth ventricle and the bulbo-medullary junction into the foramen magnum and cervical spinal canal.
  • 71.
  • 72.
  • 73.
  • 74.
  • 75.
  • 76.
  • 77.
  • 78.
  • 79.
  • 80. • Symptoms vary depending on whether the spinal cord, brain stem, nerves or their blood supply is affected by the pressure. Symptoms become apparent when the neck is bent. They include
  • 81.
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  • 97. • incomplete fusion of odontoid to C2 body

Editor's Notes

  1. The dorsal ramus supplies rectus capitis posterior major and minor, superior and inferior oblique, and the semispinalis capitis The C1 ventral root (SUBOCCIPITAL NERVE) is composed of four to eight rootlets that joined and coursed laterally and supplies the rectus capitis lateralis.