BASILAR INVAGINATION

Course overview

BASILAR INVAGINATION IS AN ABNORMALITY AT THE CRANIOVERTEBRAL JUNCTION, EITHER CONGENITAL OR DEGENERATIVE, RESULTING IN THE ODONTOID PROLAPSING INTO THE ALREADY LIMITED SPACE OF THE FORAMEN MAGNUM. WHILE FREQUENTLY SEEN IN RHEUMATOID ARTHRITIS, IT MORE COMMONLY PRESENTS IN A MYRIAD OF CONGENITAL CONDITIONS (I.E., CHIARI MALFORMATION, SYRINGOMYELIA, KLIPPEL-FEIL SYNDROME, AND HYDROCEPHALUS). CLINICAL PRESENTATIONS CAN RANGE FROM CHRONIC HEADACHES, LIMITED NECK MOTION, AND ACUTE NEUROLOGIC DETERIORATION. THIS ACTIVITY OUTLINES THE EVALUATION, MANAGEMENT, AND REVIEWS UPON THE LATEST ANATOMICAL BASIS PERTAINING TO BASILAR INVAGINATIONS PATHOGENESIS AS WELL AS ADDRESSES THE PARADIGM SHIFT PERTAINING TO ITS SURGICAL MANAGEMENT.