Is basilar invagination common?

Is basilar invagination common?

Basilar invagination occurs in around 5-10% of patients with cervical rheumatoid arthritis due to loss of axial supporting structures in the upper cervical spine 3,4.

Is Platybasia serious?

Platybasia is diagnosed when, on a lateral skull film or saggitally formatted CT, the angle of the line drawn along the plane of the sphenoid sinus and along the clivus is greater than 145 degrees. Platybasia, per se, is not a disease. BI is uncommon but somewhat dangerous.

What is an impression on the spine?

Basilar impression is a skeletal malformation characterized by translocation of the upper cervical spine and clivus into the foramen magnum, giving rise to various symptoms related to brainstem, upper spinal cord, and cerebellar compression.

When does Chiari malformation require surgery?

You may be a candidate for surgery if you have: An abnormal collection of CSF in the spinal cord called a syrinx. A Chiari malformation obstructing CSF flow (confirmed by cine MRI) and is causing severe or worsening symptoms.

Does thecal sac compression require surgery?

Treatment for Spinal Cord Compression Depending on the patient, surgery may not be necessary. When non-surgical methods fail to treat severe neurological issues or pain, surgery may be the best course of action.

Which is the best treatment for basilar invagination?

The great majority of patients with basilar invagination report postoperative improvements with this management algorithm. Most patients without ventral compression can be managed by foramen magnum decompression alone. The majority of patients with ventral compression can be treated by posterior dec … Treatment of basilar invagination

How are basilar invagination, basilar impression and cranial settling related?

Although their names are often used interchangeably, basilar invagination, basilar impression, and cranial settling are different but similar conditions. All three of these complex conditions involve the area where the skull meets the top of the spine, and all can cause compression of the spinal cord.

When does basilar invagination cause sudden death?

Basilar invagination is an uncommon condition that occurs when the upper portion of the second vertebra (C2) moves upward. This may cause compression of the spinal cord and brainstem, creating a variety of neurologic problems, including sudden death. Basilar invagination may: Be present at birth.

What to do if you have streptococcal pharyngitis?

Patients with a score of 2 or 3 should be tested using RADT or throat culture; positive results warrant antibiotic therapy. Patients with a score of 4 or higher are at high risk of streptococcal pharyngitis, and empiric treatment may be considered. Figure 1.