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The most common mechanism of injury is high-speed motor vehicle accidents. The injury is more likely in children due to the large size of their heads relative to their bodies, and more horizontal orientation of the occipital condyles. It represents <1% of all cervical spine injuries. [1] Several subtypes of atlanto-occipital dislocation are known.
The posterior atlantooccipital membrane (posterior atlantooccipital ligament) is a broad but thin membrane [1] [2]: 99 extending between the posterior margin of the foramen magnum above, and posterior arch of atlas (first cervical vertebra) below. It forms the floor of the suboccipital triangle.
The atlanto-occipital joint may be dislocated, especially from violent accidents such as traffic collisions. [1] This may be diagnosed using CT scans or magnetic resonance imaging of the head and neck. [1] Surgery may be used to fix the joint and any associated bone fractures. [1] Neck movement may be reduced long after this injury. [1]
Craniocervical instability (CCI) is a medical condition characterized by excessive movement of the vertebra at the atlanto-occipital joint and the atlanto-axial joint located between the skull and the top two vertebra, known as C1 and C2.
When the occipital bone and the atlas (C1) are fused together in a condition called atlanto-occipital assimilation, it causes improper functioning of the cervical spinal nerves due to the vascular compression. Surgical procedure can decompress the nerves and reduce symptoms.
Atlantoaxial instability is a common asymptomatic finding in rheumatoid arthritis patients. [3] However, it can lead to cervical myelopathy. [4] Patients with atlantoaxial instability can experience neck pain and headaches in the back of the head (occipital headaches).
The clivus (/ ˈ k l aɪ v ə s /, [1] Latin for "slope") or Blumenbach clivus is a part of the occipital bone at the base of the skull. [2] It is a shallow depression behind the dorsum sellae of the sphenoid bone. It slopes gradually to the anterior part of the basilar occipital bone at its junction with the sphenoid bone. It extends to the ...
The under surface of the jugular process is rough, and gives attachment to the Rectus capitis lateralis muscle and the lateral atlanto-occipital ligament; from this surface an eminence, the paramastoid process, sometimes projects downward, and may be of sufficient length to reach, and articulate with, the transverse process of the atlas.