# Craniovertebral Junction Deformity Diagnosed by Computed Tomography: A Case Report

## TL;DR

A 28-year-old woman with complex craniovertebral junction deformities was diagnosed using CT imaging, emphasizing the need for early diagnosis and multidisciplinary care.

## Contribution

This case report highlights the diagnostic value of CT imaging in identifying complex craniovertebral junction deformities.

## Key findings

- CT imaging revealed basilar invagination and atlanto-occipital assimilation in a patient with progressive neurological symptoms.
- The case emphasizes the importance of multidisciplinary management for craniovertebral junction deformities.
- Early diagnosis and tailored treatment are crucial for improving outcomes in such complex deformities.

## Abstract

Craniovertebral junction (CVJ) deformities, including basilar invagination and atlanto-occipital assimilation, present significant challenges in diagnosis and management due to their complex nature and impact on neurological function. We report a case of a 28-year-old female who experienced neck pain, weakness, tingling in the upper limbs, restricted neck movements, occipital headaches, and intermittent dizziness. These symptoms progressively worsened over six months, markedly affecting her quality of life. Neurological examination revealed reduced motor power in the upper limbs and a diminished bicipital tendon reflex, while other assessments remained normal. Cervical spine CT imaging was done which revealed basilar invagination and atlanto-occipital assimilation. This case underscores the importance of recognizing and managing CVJ deformities, highlighting the need for a multidisciplinary approach to address anatomical and associated neurological symptoms. Early and accurate diagnosis and a tailored treatment strategy are crucial for improving patient outcomes.