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KMID : 1237720210540010128
Anatomy & Cell Biology
2021 Volume.54 No. 1 p.128 ~ p.131
Chiari 1.5 malformation, accessory odontoid synchondrosis, and ventral compression: case report
Hage Dany

Iwanaga Joe
Bui C. J.
Dumont Aaron S.
Tubbs R. Shane
Abstract
The pathogenesis of Chiari 1 malformations has been explained in several different ways, but extensive evidence suggests a relationship between loss of volume within the posterior cranial fossa and Chiari 1 presentations. It is important to be able to differentiate Chiari 1.5 from Chiari 1 malformations as they have similar clinical presentations, but the latter have progressed further and are characterized by caudal herniations of the brain stem through the foramen magnum. Despite the similarities of presentation, Chiari 1.5 malformations have greater rates of complications following posterior decompression surgeries, which are typically performed to relieve ventral compression. An improved understanding of the odontoid synchondroses could lead to better understanding of Chiari malformations and lead to improved treatment of patients with these presentations. Here we present a rare case of an accessory odontoid synchondrosis in a patient with a Chiari 1.5 malformation and ventral compression.
KEYWORD
Dens, Odontoid process, Anatomy, Chiari malformations, Odontoid synchondroses
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