34-year-old female
A 34-year-old female with no significant medical history was referred for evaluation of the TMJs. The radiologist noted asymmetry of the facial bones suggestive of hemifacial microsomia. Multiple cervical spine abnormalities were also identified, including fusion of C2 and C3, atlanto-occipital assimilation, and basilar invagination.
The radiologist noted that these abnormalities may lead to cervical instability, and that basilar invagination can compress the contents of the spinal column and result in neurological deficits. Referral was recommended if the spinal abnormalities had not been previously identified and evaluated, as evaluation by a physician is essential to assess cervical stability.
De-identified scan detail.
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