[tonyamarie]

#32483

Hi :)

I was reading through the questions earlier about the c1-c2 instability…mentioning Elhers Danlos as a cause. Do you work with those that have Elhers Danlos and instability of the upper cervical. After a couple years of searching and neurological issues I was recently treated for a spinal fluid leak and awaiting neurosurgeon for the cervical spine. MRI read shows a pathological Clivo axil and the deviation of cervical medullary junction around the dens.

Respectfully,
Tonya

[Donald Corenman, MD, DC]

#32485

You might have Chiari’s syndrome if you have a “pathological Clivo axil and the deviation of cervical medullary junction around the dens”. The other possibility is basilar invagination which is somewhat similar to Chiari’s syndrome.

You can tell if you have transverse ligament incompetence of C1-2 by looking at the space between the front of the dens of C2 and the back of the front ring of C1 on flexion/extension X-rays (called the ADI or Atlanto-dens interval). If it enlarges greater than 3.5mm, you might have some laxity which can occur with Ehlers Danlos syndrome.

Dr. Corenman

PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
 
Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.

[Donald Corenman, MD, DC]

#32486

You might have Chiari’s syndrome if you have a “pathological Clivo axil and the deviation of cervical medullary junction around the dens”. The other possibility is basilar invagination which is somewhat similar to Chiari’s syndrome.

You can tell if you have transverse ligament incompetence of C1-2 by looking at the space between the front of the dens of C2 and the back of the front ring of C1 on flexion/extension X-rays (called the ADI or Atlanto-dens interval). If it enlarges greater than 3.5mm, you might have some laxity which can occur with Ehlers Danlos syndrome.

Dr. Corenman

PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
 
Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.

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