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Case Studies | Medical Surgical | India | Volume 6 Issue 1, January 2017 | Rating: 6.6 / 10

Posterior Hypoplastic C1 Arch with Neurological Deficits ? A Case Report

Dr. Venkata Ramakrishna Tukkapuram | Dr. Sree Harsha C. K. | Dr. Vijay Kumar Shabadi

Abstract: Hypoplastic C1 posterior arch, a rare anomaly ranges from partial cleft to total agenesis which is a result of developmental failure of chondrogenesis, which is always missed as a diagnosis until only when symptomatic and is usually surgically treated. However, preventing cumulative trauma to the cord by surgery at early stage is debatable. We present a case of 36 years female patient with paraesthesia in all four limbs and weakness of right hand grip and triceps. Patient was investigated with dynamic X ray of CVJ, CT scan with 3D reconstruction and MRI. Posterior hypoplastic arch excision was done without a need for stabilisation as there was no segmental instability.

Keywords: hypoplastic posterior C1 arch

Edition: Volume 6 Issue 1, January 2017,

Pages: 73 - 75