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Cv Junction Anomaly

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AN INTERESTING CASE OF QUADRIPARESIS PROF. RAMASAMY’S UNIT Dr.Betsy M 3
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
PROVISIONAL DIAGNOSIS Spastic quadriparesis Low hair line Short neck Restriction of neck movements VSD CRANIOVERTEBRAL JUNCTION ANOMALY
INVESTIGATIONS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CRANIOVERTEBRAL JUNCTION ANOMALIES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CLASSIFICATION OF CVJ ANOMALIES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CVJ ANOMALIES CLASSIFICN (CONTD) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CVJ ANOMALIES CLASSIFICN (CONTD) ,[object Object],[object Object],[object Object],[object Object],[object Object]
CVJ ANOMALIES CLASSIFICN (CONTD) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CLASSIFICATION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SIGNS AND SYMPTOMS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
KLIPPEL FEIL SYNDROME ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CLASSIFICATION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CLINICAL FEATURES ,[object Object],[object Object],[object Object]
CLINICAL FEATURES ,[object Object],[object Object],[object Object],[object Object],[object Object]
CLINICAL FEATURES CONTD.. ,[object Object],[object Object],[object Object]
CLINICAL FEATURES CONTD.. ,[object Object],[object Object],[object Object]
RADIOLOGICAL FINDINGS ,[object Object],[object Object],[object Object],[object Object],[object Object]
ASSIMILATION OF ATLAS OCCIPITALIZATION OF ATLAS/ ATLANTO-OCCIPITAL SYNOSTOSIS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DENS DYSPLASIAS ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
ATLANTO AXIAL DISLOCATION ,[object Object],[object Object],[object Object],[object Object],[object Object]
ATLANTO AXIAL DISLOCATION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ATLANTO AXIAL DISLOCATION The gap between the occipital condyles and the condylar surface of the atlas is widened to more than 5 mm.
BASILAR INVAGINATION ,[object Object],[object Object],[object Object],[object Object],[object Object]
BASILAR INVAGINATION CONTD.. ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
CRANIOMETRIC LINES ,[object Object],[object Object],[object Object],[object Object],[object Object],Hard palate Clivus Occiput
CRANIOMETRIC LINES contd.. ,[object Object],[object Object],[object Object],[object Object],[object Object]
CRANIOMETRIC LINES contd.. ,[object Object],[object Object],[object Object],[object Object],[object Object]
CRANIOMETRIC LINES contd.. ,[object Object],[object Object],[object Object],[object Object],Clivus Odontoid process
CRANIOMETRIC LINES contd.. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CRANIOMETRIC LINES contd.. ,[object Object],[object Object],[object Object],[object Object],[object Object]
CRANIOMETRIC LINES contd.. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
X RAY SKULL LATERAL VIEW OPEN MOUTH X RAY ATLANTO OCCIPITAL FUSION C5 C6 PARTIAL BLOCK VERTEBRA OS ODONTOIDEUM
MRI BRAIN AND CERVICAL SPINE ,[object Object],[object Object],[object Object],[object Object]
MRI BRAIN AND CERVICAL SPINE ,[object Object],[object Object],[object Object]
Anterior subluxation of C 1 over C 2 vertebra. ATLANTO- DENTAL interspace is 8-10 mm
 
MRI REPORT ,[object Object],[object Object],[object Object],[object Object]
TREATMENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
TREATMENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
TREATMENT OF CV JUNCTION ANOMALIES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
THANK YOU

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Cv Junction Anomaly

  • 1. AN INTERESTING CASE OF QUADRIPARESIS PROF. RAMASAMY’S UNIT Dr.Betsy M 3
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  • 8. PROVISIONAL DIAGNOSIS Spastic quadriparesis Low hair line Short neck Restriction of neck movements VSD CRANIOVERTEBRAL JUNCTION ANOMALY
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  • 29. ATLANTO AXIAL DISLOCATION The gap between the occipital condyles and the condylar surface of the atlas is widened to more than 5 mm.
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  • 40. X RAY SKULL LATERAL VIEW OPEN MOUTH X RAY ATLANTO OCCIPITAL FUSION C5 C6 PARTIAL BLOCK VERTEBRA OS ODONTOIDEUM
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  • 43. Anterior subluxation of C 1 over C 2 vertebra. ATLANTO- DENTAL interspace is 8-10 mm
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