Additional atlanto-occipital articulation

Case contributed by Nick Tarasov
Diagnosis certain

Presentation

Palbable painful mass beyond the left mastoid process

Patient Data

Age: 30 years
Gender: Female

There is anomalous junction between osseous mass originating from the mastoid process and the left C1 transverse process.

7mm caudal dislocation of cerebellar tonsils through the foramen magnum 

Case Discussion

There are two craniovertebral anomalies, one of them is relatively rare and cause patient's symptoms

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