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15/02/2021

What causes ponticulus posticus?

What causes ponticulus posticus?

The ponticulus posticus is a bony bridge in the first cervical vertebra between the lateral mass and the posterior arch. It results due to ossification of the posterior atlanto-occipital ligament of atlas and encloses the vertebral artery and the first cervical nerve root [6].

What is posterior ponticle?

The arcuate foramen (foramen arcuate atlantis, ponticulus posticus or posterior ponticle, or Kimerle anomaly) is a frequently encountered normal variant of the atlas and is easily appreciated on a lateral plain film of the craniocervical junction.

What does Ponticulus mean?

1 : a slight ridge. 2 : a bridge of transverse nerve fibers between the pyramids of the medulla and the pons.

How common is Ponticulus Posticus?

Conclusion. Ponticulus posticus is a fairly common anomaly with more than one-third (35.7%) of a group of Nepalese orthodontic patients affected and is independent of gender.

What is vertebral artery compression syndrome?

BHS is syndrome characterized by symptoms such as dizziness, vertigo, and blurred vision when the patient rotates his neck. BHS is defined as symptomatic vertebrobasilar insufficiency by a mechanical occlusion of the vertebral artery during head rotation9).

Where is the posterior atlanto occipital membrane?

The posterior atlantooccipital membrane (posterior atlantooccipital ligament) is a broad but thin membrane. It is connected above to the posterior margin of the foramen magnum and below to the upper border of the posterior arch of the atlas. It is a continuation from the Ligamentum Flavum.

Can Klippel Feil syndrome be passed down?

In most cases, Klippel Feil syndrome (KFS) is not inherited in families and the cause is unknown. In some families, KFS is due to a genetic alteration in the GDF6, GDF3 or MEOX1 gene and can be inherited. When KFS is caused by mutations in the GDF6 or GDF3 genes, it is inherited in an autosomal dominant manner.

Can Klippel Feil syndrome be prevented?

There is no cure for Klippel-Feil syndrome (KFS), so treatments focus on managing the symptoms. Treatment programs can vary widely, depending on the severity of KFS, as well as any other conditions that might be present.

What are the symptoms of ponticulus posticus pain?

Discussion. Association of Ponticulus Posticus with Barre-Lieou syndrome, has also been reported. It represents symptoms of headache, retro-orbital pain, vasomotor disturbance of the face and recurrent disturbances of vision, swallowing and phonation caused by alteration of blood flow within the vertebra.

How many people have ponticulus posticus in the world?

Results:Among the sample of 500 cases, partial ponticulus posticus was found in 302 patients (60%) (Males 48% and Females 52%). Complete variant was found in 40 cases (8%) (Males 65% and females 35% both, who were in the age group of 16-45 years), with a mean age of 28 years and SD 27.76 ±10.74.

Can A ponticulus posticus be missed on a DMX?

Ponticulus posticus can be missed on x-rays and even digital motion x-ray (DMX) and often it’s just discarded as kind of a normal variant. In our office, we see ponticulus posticus in some patients.

Where is the ponticulus posticus in the cervical vertebra?

One of such anomalies that can be discerned by watchful eyes is ponticulus posticus. The ponticulus posticus is a bony bridge in the first cervical vertebra between the lateral mass and the posterior arch.