Ponticulus posticus

Case contributed by Francesco Buemi
Diagnosis certain

Presentation

Trauma. Incidental finding.

Patient Data

Age: 35 years
Gender: Male
x-ray

Straightening of the cervical lordosis with normal alignment.
No fractures.
Ponticulus posticus.

Case Discussion

Ponticulus posticus is an abnormal bony bridge located in the posterior arch of the atlas in relation to the passage of the vertebral artery1, 2. Therefore it may have a clinical relevance related to the possible compression of the vertebral artery. Variable symptoms have been described such as vertigo, neck pain, migraine, shoulder pain and diplopia3.

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