craniocervical junction unremarkable

A computed tomography (CT) scan of the craniocervical junction revealed a left occipital condyle fracture a and b. Myelopathy, myelomalacia, - Colorado Spine Surgeon Craniocervical junction: No significant abnormalities are detected of the clivus or cervicomedullary junction. In the operation room, the patient was monitored with pulse . . Anatomy of Craniocervical Junction | Musculoskeletal Key This was regardless of the site of compression. What does the word 'unremarkable' in an MRI scan report ... These disorders may be present at birth or result from injuries or disorders that occur later. the neurological exams of these patients were unremarkable. The atlantoaxial articulations are unremarkable. In patients with ACM I and syringomyelia, there is no evidence that any Objective: Arachnoid cysts (ACs) of the craniocervical junction are extremely rare entities. Otherwise the brain parenchyma is unremarkable and there is no acute stroke, abnormal extra-axial fluid collection. The prevertebral space is normal. It is also known as the syndrome of occipitoatlantoaxial hypermobility. The craniocervical junction and spinal canal appear patent. The craniocervical junction is normal. In CCI the ligamentous connections of the craniocervical junction can be stretched, weakened or ruptured. No lymphadenopathy is seen. There are many types of head and upper neck disorders (also known as upper cervical disorders, craniovertebral junction (CVJ) abnormalities, and craniocervical disorders).Some are congenital (present at birth), while others are acquired (develop later in life). MRI. Neurological examination was unremarkable, but a CT scan revealed a lytic lesion of the C2 . The atlas, first cervical vertebra, has its origins in the fourth occipital and first cervical sclerotomes. Methods: A 21-year-old man was admitted to our clinic after a craniospinal trauma. Introduction: The initial treatment of bony lesions at the craniocervical junction consisted of posterior decompression with enlargement of the foramen and removal of the posterior arch of the atlas and axis vertebra. IMPRESSION: 1. The atlas, first cervical vertebra, has its origins in the fourth occipital and first cervical sclerotomes. There are couple of tiny T2 FLAIR white matter hyperintensities in the brain. There is an unremarkable appearance to the craniocervical junction and pituitary fossa. I know what it means when these reports say "UNremarkable" - nothing of significance or nothing found, but does anyone know if appearing remarkable . The lung apices are clear. Join Date: Jun 2006. Craniocervical instability is a pathological deformity of the brainstem, upper spinal cord and cerebellum that causes structural instability of the craniocervical junction. The visualised nasal cavity is unremarkable. We referred this patient for an MRI of the craniocervical junction per our normal . The midline brain, craniocervical junction is unremarkable. Cortical grey-white matter differentiation appears unremarkable." "A type 1 vascular loop within the left internal auditory canal. The neurovascular structures and muscles are normal. Craniocervical instability is a pathological deformity of the brainstem, upper spinal cord and cerebellum that causes structural instability of the craniocervical junction. The recti muscles are symmetric and unremarkable. dislocation, craniocervical misaligenment and neural element compression in his classification system. the craniocervical junction is unremarkable with no sign of Chiari or other malformation; Annotated image. No hemosiderin deposition is seen on the gradient images. Two small white matter areas of change on the FLAIR images are noted adjacent to the right lateral ventricle in the anterior parietal region. The visualized portions of the paranasal sinuses appear unremarkable. unremarkable osseous structures in appearance, visualized portions of the paranasal sinuses, orbits and mastoid air cells. . The craniocervical junction is unremarkable, with normal foramen magnum. These abnormalities can result in neck pain; syringomyelia; cerebellar, lower cranial . The major intracranial flow voids are visualized. The patient's postoperative period was unremarkable, and she was discharged home on postoperative Day 5 for periodic follow-up. Craniocervical instability (CCI) is a pathological condition of increased mobility at the craniocervical junction, the area where the skull meets the spine. It is a transition zone b/w a mobile cranium & relatively rigid spinal column. You notice that a few of the roof tiles have fine cracks through them and the mortar between the two lowest courses of brickwo. . The imaged portions of the cervical cord on the sagittal FLAIR images also appear unremarkable. In the lateral cervical radiograph, the craniocervical junction could not be determined and the cervical spine appeared to be shorter than normal. C2-3: There is a small central posterior disc protrusion without significant stenosis. Objective: The objective is to discuss surgical strategies in . Otherwise the brain parenchyma is unremarkable and there is no acute stroke, abnormal extra-axial fluid collection. The spinal canal is widely patent with normal appearing cord. 1) the craniocervical junction is an area at the base of the skull, where the brainstem becomes the spinal cord. fusion of cervical vertebrae) and (v) platybasia or flattening of the . The patient had no intracranial lesion. The transcondylar approach safely exposes the craniocervical junction at the anterior aspect of the neuraxis and still allows the surgeon to access the tumor through a parallel plane, with minimum morbidity. Arachnoid cysts are uncommon cystic lesions that comprise 1% of all intracranial masses. Craniocervical junction is normal. No orbital or retro-orbital abnormality is demonstrated. There is some minimal ethmoid sinus disease. It is a transitional zone between a mobile cranium and a relatively rigid spinal column. All vertebrate species have a distinct morphology and movement pattern, which reflect the adaption of the animal to its habitat. Orbits and globes are unremarkable. authors have recommended MRI screening ofthe craniocervical junction for all infants with achondroplasia.10,18,19 In addition, the American Academy of Pediatrics (AAP) guidelines on A safe, supportive environment for online support and information for those with neurological and related conditions. There are couple of tiny T2 FLAIR white matter hyperintensities in the brain. All laboratory tests were unremarkable except raised ESR level. Yet, our knowledge of motion patterns of the craniocervical junction of dogs is very limited. IMPRESSION: 1. Cervicogenic dizziness (CGD) is a clinical syndrome characterized by an illusory sensation of motion and disequilibrium secondary to neck pathologies [1, 2].Although the etiology remains unknown, many cases of CGD have been associated with post whiplash injury, inflammatory, degenerative, or mechanical dysfunctions of the cervical spine []. Sagittal T2 Sagittal image demonstrates the sacral spinal defect (red arrow) with no mass protruding through the defect and intact overlying skin. Brain is otherwise unremarkable. It is also known as the syndrome of occipitoatlantoaxial hypermobility. Anatomy of Craniocervical Junction. She was treated conservatively with a hard cervical spine collar for 12 weeks. The goal of this paper is to discuss the anatomy and biomechanics of the craniocervical junction as well as the neuroimaging findings associated with various compartments of retroclival hemorrhage . Answer (1 of 5): The cranio-cervical junction is the articulation between the occipital condyles of the skull and the upper surfaces of the first cervical vertebra, aka the Atlas. No significant signal abnormality is seen within the spinal cord parenchyma. It contributes to my fainting episodes as well as migraines and other issues. The lung apices are . From the case: Occipital meningocele. Mild prominence of the adenoidal tissue is noted. Sagittal spin echo with 30 msec echo times and 500 msec repetition times constituted the most informative imaging plane and sequence. Answer (1 of 14): What does the word "unremarkable" in an MRI scan report mean? No evidence of acoustic neuroma. C5-6: There is a subtle area of high signal intensity in the posterior margin of the disc, consistent with a tiny annular tear and a subtle disc bulge which has no effect on the cord. Given the possibility of the co-existence of these injuries, we Answer (1 of 5): I'm not certain what the exact definition according to the American Board of Radiology, but unremarkable means just that - that nothing remarkable was seen. The muscles and tendons of the neck are within normal limits. The craniocervical junction appears unremarkable. craniocervical junction." While the role of spinal dura as a source of pain at levels below the craniocervical junc-tion is still not clear, there is no doubt that the dura mater at the level of the craniocervical junction has all of the necessary components of a pain-sen-sitive structure. No focal disc protrusions. With the advent of newer techniques, recent literature suggests a possible role for a transnasal endoscopic approach to the craniocervical junction. CONCLUSION: 1. On examination, he was conscious and alert. The tonsils and adenoids are normal. Craniocervical junction abnormalities in humans are typically classified into five categories: (i) fusion of the atlas and occipital bone, (ii) basilar invagination of the occipital condyles, (iii) atlantoaxial subluxation of dislocation, (iv) Klippel-Feil malformation (i.e. Tissue diagnosis of TB was established by open biopsy of the craniocervical junction. The bone marrow signal intensity is within normal limits. Initial imaging studies included anteroposterior and lateral radiographs of the spine. Needless to say, the results were poor when an irreducible ventral lesion at the craniocervical junction caused compression of the . When a curvature bends to the left, towards the heart, this is known as levoscoliosis, is considered 'atypical', and warrants a different treatment approach.. neural elements in the craniocervical junction. Customer reply replied 6 years ago. Craniocervical Junction Abnormalities. The neural exit foramina are normal. Posterior fossa volume anomalies are highly significant due to their pathogenic implications. Posts: 2,072. Different strategies have been proposed for chordomas involving the craniovertebral junction (CVJ) compared to other locations. 1 10 back pain, headache 3 (6) unremarkable resolved 46 2 3 gait disturbance 11 (8) veil, scar tissue improved 16 3 7 headache, neck pain 8 (3) veil resolved 12 . A 58-year-old man presented for further evaluation of an incidentally discovered mass at the craniocervical junction. This report describes a craniocervical junction AC with unusual clinical course at an unusual anatomical location. Ask Your Own Neurology Question. No paravertebral abnomality is seen. When it comes to treating dextroscoliosis vs. levoscoliosis, the big difference is the red flag I . Hello, I have found my MRI reports and the one of my neck lists one finding as: The craniocervical junction appears remarkable. The CCJ is a collective term that refers to the occiput (posterior skull base), Atlas, Axis and supporting ligaments. Tectorial membrane disruption was diagnosed in most patients without craniocervical junction related symptoms. 2. It is unique among vertebrae in not having a body and is formed from three ossification sites: the anterior arch or centrum and two neural arches which fuse in later life to become a unified posterior . Grossly unremarkable means it is normal neuromd2012 : Hyperpneumatisation of the craniocervical bones: an emerging aetiological pattern - Volume 128 Issue 4 Skip to main content Accessibility help We use cookies to distinguish you from other users and to provide you with a better experience on our websites. This could be a mucus retention cyst, polyp, focal mucosal thickening. The impossibility to achieve en bloc excision, the impact on stability and the need for proper reconstruction make their surgical management challenging. Craniocervical junction abnormalities are congenital or acquired abnormalities of the occipital bone, foramen magnum, or first two cervical vertebrae that decrease the space for the lower brain stem and cervical cord. The major intracranial flow voids are visualized. Posterior fossa volume anomalies are highly significant due to their pathogenic implications. You have been sent detailed photos of a house for sale to evaluate. Cavernous sinuses are unremarkable. The corpus callosum is fully formed and myelinated and the craniocervical junction is normal. Neurological exam noted 1+ reflexes and hypotonia and was otherwise normal. With the advent of newer techniques, recent literature suggests a possible role for a transnasal . The major dural venous sinuses appear to be . As a child, he had radiation therapy for acne on his neck and back, and had a superficial skin cancer removed from the right upper cervical/suboccipital . It is unique among vertebrae in not having a body and is formed from three ossification sites: the anterior arch or centrum and two neural arches which fuse in later life to become a unified posterior . In the lateral cervical radiograph, the craniocervical junction could not be determined and the cervical spine appeared to be shorter than normal. The midline brain, craniocervical junction is unremarkable. chest X-ray was unremarkable. Answered in 20 minutes by: Laboratory studies were unremarkable. The value of MRI of the craniocervical junction in patients with whiplash-associated . Simultaneous OCFs and a retro-clival subdural hematoma can occur due to injury to osseous structures at the craniocervical junction [2]''. None of the patients had a focal spinal cord or brain stem injury, craniocervical junction dislocation, or vertebral fractures. Evidence of midline shift or mass effect. The Craniocervical Junction (CCJ) is the most complex joint region in the body. Laboratory studies were unremarkable.</P>Initial imaging studies included anteroposterior and lateral radiographs of the spine. The aim of this prospective study is to perform a detailed analysis and description of three-dimensional craniocervical motion during locomotion in clinically sound . Other causes are more insidious, like looking down all the time to interact with a cell phone, tightness in the chest wall, and psoas muscle from sitting too much or just getting older. There is no mass or mass effect. The Atlas also has articular surfaces on its inferior side. Know the causes, symptoms, treatment, prognosis and pathophysiology of craniocervical instability. The foramen magnum is patent. "Midline structures and the craniocervical junction appear unremarkable. Examination was unremarkable other than kidney stones: a 21-year-old man was admitted to our clinic after craniospinal! 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