Arcuate foramen

Case contributed by Dr Tejas Ghoorah

Presentation

Severe persistent headache with neck pain for one week.

Patient Data

Age: 50
Gender: Male
X-ray

A complete arcuate foramen present. Also known as the foramen arcuale atlantis. Elongated styloid process.

Case Discussion

Incidental finding on this 50 years old man with neck pain. 

Patients with complete arcuate foramen have various significant complaints which may cause compression of the sympathetic plexus around the vertebral artery. The arcuate foramen is an underestimated structure and clinicians should be alerted to a possible arcuate foramen with patients complaining of vertigo, headache, shoulder-arm and neck pain 1.

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Case information

rID: 28288
Case created: 19th Mar 2014
Last edited: 2nd May 2017
Inclusion in quiz mode: Included

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