Journals / Anatomy / 2026 / Volume: 9 Issue: 2

Occipitocervical synostosis: case report

Journal
Anatomy
Pages
—
Publication Date
2015-09-10
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Occipitocervical synostosis is clinically important as it may cause narrowing of foramen magnum which may compress the brainstem, vertebral artery and cranial nerves, and during surgical approaches to the craniovertebral region.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Fusion of atlas with the occipital bone is a rare congenital anomaly known as occipitocervical synostosis, occipitalization of atlas, assimilation of atlas or atlanto-occipital fusion.
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Key Findings & Data:We describe two cases of occipitocervical synostosis identified amongst one-hundred dry adult human occipital bones from the collection of Ege University, School of Medicine, Department of Anatomy (incidence 0.5%).
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Conclusion & Impact:Occipitocervical synostosis is clinically important as it may cause narrowing of foramen magnum which may compress the brainstem, vertebral artery and cranial nerves, and during surgical approaches to the craniovertebral region.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:atlanto-occipital fusion · occipital bone · occipitalization of atlas

Abstract

Fusion of atlas with the occipital bone is a rare congenital anomaly known as occipitocervical synostosis, occipitalization of atlas, assimilation of atlas or atlanto-occipital fusion. We describe two cases of occipitocervical synostosis identified amongst one-hundred dry adult human occipital bones from the collection of Ege University, School of Medicine, Department of Anatomy (incidence 0.5%). The synostosis was complete type for both cases. Occipitocervical synostosis is clinically important as it may cause narrowing of foramen magnum which may compress the brainstem, vertebral artery and cranial nerves, and during surgical approaches to the craniovertebral region.

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Cite This Article

Kayhan, B., Çoruk, P., Erturk, M., Sengul, G. (2015). Occipitocervical synostosis: case report. Anatomy, Volume: 9 Issue: 2. https://doi.org/10.2399/ana.15.017

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References (72)

  1. Mudaliar RP, Shetty S, Nanjundaiah K, Kumar JP, Kc J. An osteological
  2. study of occipitocervical synostosis: its embryological and
  3. clinical significance. J Clin Diagn Res 2013;7:1835–37.
  4. Campos D, Silva TH, Ellwanger JH, Goerck ML, Kipper JF, Piazza
  5. JL, Kraether NL. Atlanto-occipital fusion and its neurological complications:
  6. a case report. Journal of Morphological Sciences 2012;29:
  7. Guebert GM, Yochum TR, Rowe LJ. Congenital anomalies and
  8. normal skeletal variants. In: Yochum TR, Rowe LJ, editors.
  9. Essentials of skeletal radiology. Baltimore: Williams and Wilkins;
  10. p. 197–306.
  11. Saini V, Singh R, Bandopadhyay M, Tripathi SK, Shamal SN.
  12. Occipitalization of the atlas: Its occurrence and embryological basis.
  13. International Journal of Anatomical Variations 2009;2:85–8.
  14. Jadhav SD, Ambali MP, Patil RJ, Doshi MA, Roy PP. Assimillation
  15. of atlas in Indian dry skulls. Journal of Krishna Institute of Medical
  16. Sciences University 2012;1:102–6.
  17. Al-Motabagani MA, Surendra M. Total occipitalization of the atlas.
  18. Anat Sci Int 2006;81:173–80.
  19. Taitz C. Bony observation of some morphological variation and
  20. anomalies of the cranio-vertebral region. Clin Anat 2000;13:354–60.
  21. Lang J. Craniocervical region, osteology and articulation.
  22. Neuroorthopedics 1986;1:67–92.
  23. Goel A, Sharma P, Dange N, Kulkami AG. Techniques in the treatment
  24. of craniovertebral instability. Neurol India 2005;53:525–33.
  25. Bergman P. On varieties of atlas in man. Folio Morphologica
  26. (Warsaw) 1967;26:129–39.
  27. Smith CA, Tuan RS. Human PAX gene expression and development
  28. of vertebral column. Clin Orthop Relat Res 1994;(302):241–50.
  29. Jayanthi V, Kulkarni R, Kulkarni RN. Atlanto-occipital fusion -
  30. report of two cases. J Anat Soc India 2003;52:71–3.
  31. Mayhew IG, Watson AG, Heissan JA. Congenital occipitoatlantoaxial
  32. malformations in the horse. Equine Vet J 1978;10:103–13.
  33. Van Nie CJ, Folkerts JF. Occipitalization of the atlas in a sheep [proceedings].
  34. Acta Morphol Neerl Scand 1977;15:325.
  35. Pang D, Thompson DN. Embryology and bony malformations of the
  36. craniovertebral junction. Review. Childs Nerv Syst 2011;27:523–64.
  37. Tubbs RS, Salter EG, Oakes WJ. The intracranial entrance of the
  38. atlantal segment of the vertebral artery in crania with occipitalization
  39. of the atlas. J Neurosurg Spine 2006;4:319–22.
  40. Nimje DA, Wankhede HA. Atlanto-occipital fusion: a rare anomaly
  41. of the craniocervical junction. Edorium Journal of Anatomy and
  42. Embryology 2014;1:1–4.
  43. Kassim NM, Latiff AA, Das S, Ghafar NA, Suhaimi FH, Othman F,
  44. Hussan F, Sulaiman IM. Atlanto-occipital fusion: an osteological
  45. study with clinical implications. Bratisl Lek Listy 2010;111:562–5.
  46. Gopal K, Choudhary AK, Agarwal J, Ali S. Morphological status of
  47. assimilated atlas vertebra with occipital bone and its clinical significance.
  48. International Journal of Research in Medical Sciences 2015;3:
  49. Nayak S, Vollala VR, Raghunathan D. Total fusion of atlas with
  50. occipital bone: a case report. Neuroanatomy 2005;4:39–40.
  51. Caspersen LM, Kjaer I, Sonnesen L. How does occipitalization
  52. influence the dimensions of the cranium? Orthod Craniofac Res;13:162–8.
  53. Bose A, Shrivastava S. Partial occipitalization of atlas. International
  54. Journal of Anatomical Variations 2013;6:81–4.
  55. Lopez ZA, Limousin LA, Mantz JR. Contribution to the classification
  56. of malformations of the atlas in the light of a new unstable malformation
  57. (3 cases). [Article in Spanish] Revista Clínica Española;94:208–15.
  58. Budin E, Sondheimer F. Lateral spread of the atlas without fracture.
  59. Radiology 1966;87:1095–8.
  60. Albrecht HJ, Castrischer E. Fission formation in the anterior and
  61. posterior atlas arch. [Article in German] Fortschr Geb Rontgenstr
  62. Nuklearmed 1968;108:543–5.
  63. Childers JC, Wilson FC. Bipartite atlas. J Bone Joint Surg Am 1971;:578–582.
  64. Keller HL. Variations in form and abnormalities of the atlas and its
  65. surrounding area. [Article in German] Fortschr Geb Rontgenstr
  66. Nuklearmed 1961;95:361–70.
  67. Vakili ST, Aguilar JC, Muller J. Sudden unexpected death associated
  68. with atlanto-occipital fusion. Am J Forensic Med Pathol;6:39–43.
  69. McRae DL, Barnum AS. Occipitalization of the atlas. Am J
  70. Roentgenol Radium Ther Nucl Med 1953;70:23–46.
  71. Iwata A, Murata M, Nukina N, Kanazawa I. Foramen magnum syndrome
  72. caused by atlanto-occipital assimilation. J Neurol Sci 1998;:229–31.