Basilar impression within a complex cranio-cervical junction anomalies (CCJAs) in a child presenting with impending bulbar cervical dissociation

Authors: 
Dr. Jamal M. Ghosheh
Abstract: 

The recognition of the congenital anomalies involving the base of the skull CCJ region is important because of their association with brain stem-spinal cord compression, spinal instability and spinal deformity. Other organ system anomalies may be associated with CCJAs as these systems share common embryonic development. A basilar impression with neural compression in a form of bulbar and cervical myelopathy with associated occipito-cervical rotational instability levelled to occipito-axial hypoplastic occipitalised atlas caudally, to brain stem medullar neural compression bulbar ward, was diagnosed in a 14 year old boy who was admitted and managed at MIH-Jerusalem.