Ventral epidural abscess with osteomyelitis at the craniocervical junction is a rare occurrence that typically mandates spinal cord decompression via a transoral approach. However, given the potential for morbidity with transoral surgery, especially in the setting of immunosuppression, together with the advent of extended endonasal techniques, the transnasal approach could be attractive for sel...

AIM To clarify the usefulness of supracondylar transjugular tubercle approach for treatment intradural lesions anterior and anterolateral to foramen magnum, in which the posterior portion of the jugular tubercle is removed extradurally through the condylar fossa with the atlanto-occipital joint intact. MATERIAL AND METHODS The supracondylar transjugular tubercle approach was applied to 28 cra...

Letter to the editor Considerations on " Endoscopic endonasal approach to the craniocervical junction: the importance of anterior C1 arch preservation or its reconstruction " * Considerazioni su " Approccio endoscopico endonasale alla cerniera craniocervicale: il ruolo della preservazione dell'arco anteriore di C1 o della sua ricostruzione " Dear Editor, i should like to make some comments of t...

Bow hunter’s syndrome (BHS) is a rare symptomatic vertebrobasilar insufficiency in which vertebral artery (VA) is mechanically occluded during head rotation. Various pathologic conditions have been reported as causes of bow hunter’s stroke. To our knowledge, however, just two cases associated with complex cranio-cervical junction (CCJ) malformation with atlantooccipital assimilation were report...

Study Design. Retrospective case report and review. Objective. Cranial cervical dislocation (CCD) is commonly a devastating injury. Delay in diagnosis has been found to lead to worse outcomes. Our purpose is to describe a rare case of occult cranial cervical dislocation (CCD) and use it to highlight key clinical and radiographic findings to ensure expedited diagnosis and proper management avoid...

The increase in the number of available internal fixation devices for the cervical spine has promoted innovative stabilization of traumatic instability of the craniocervical junction. Traumatic injuries involving the craniocervical junction vary widely because of the complex osseous and ligamentous anatomy. These injuries can be purely ligamentous, such as occipitocervical dislocation, or can i...

Injuries to the upper cervical spine are potentially lethal; thus, full characterization of the injuries requires an accurate history and physical examination, and management requires an in-depth understanding of the radiographic projection of the craniocervical complex. Occipital condyle fractures may represent major ligament avulsions and may be highly unstable, requiring surgery. Craniocervi...