Week 1 Flashcards

(34 cards)

1
Q

Occipitalization is a condition affecting what area?

A

Non-segmentation of C0-C1

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2
Q

Basilar Impression is associated w/ what condition?

A

Occipitalization

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3
Q

Does Occipitalization exist in isolation or w/ other conditions?

A

Both

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4
Q

What is basilar impression?

A

Dens intruding into the foramen magnum compressing the brain stem

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5
Q

When do we order an MRI if there is a possible basilar impression?

A

When the patient has neuro symptoms

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6
Q

Is adjusting contraindicated for patients w/ Occipitalization?

A

Yes

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7
Q

Where is there lack of space at in patients w/ Occipitalization?

A

Above the posterior arch

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8
Q

Occipital Vertebrae is a projection where?

A

Between C0/C1

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9
Q

Where is the third condyle?

A

Front of the foramen magnum to anterior tubercle

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10
Q

What film can we see a third condyle on?

A

Lateral film only

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11
Q

Where is the epitransverse process?

A

Off of TP of C1 and articulates w/ C0

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12
Q

What film can we see the epitransverse process on?

A

APOM

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13
Q

What movement does the epitransverse process limit?

A

Lat flexion to the side

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14
Q

Is an epitransverse process congenital or non-congenital?

A

Congenital

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15
Q

Where does the paracondylar process come off of?

A

C0 next to condyle to TP of C1

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16
Q

Where does the paramastoid process com off of?

A

Adjacent to mastoid to TP of C1

17
Q

What film views do we need to see paracondylar and paramastoid processes?

18
Q

What is primary basilar impression/invagination?

19
Q

What is secondary basilar impression/invagination?

A

Bone softening diseases

20
Q

McgGregors Line?

A

Post hard palate to the base of C0

21
Q

What determines Occipitalization w/ McGregors line?

A

> 8-10 mm above the line

22
Q

What determines basilar invagination w/ McGregors line?

A

If the dens is > 4.5 mm

23
Q

Chamberlin Lines?

A

Post aspect of foramen magnum to the post hard palate

24
Q

What determines basilar invagination w/ chamberlin lines?

A

If the dens is > 3 mm above the line

25
What is Arnold -Chiari Malformation?
Downward displacement and elongation of the brainstem and cerebellar tonsils.
26
What are some symptoms of Arnold-Chiari Malformation?
Mild HA, neck pain, stridor, apnea, nystagmus, and cranial nerve palsies
27
What is stridor?
A high-pitched breath sound resulting from turbulent air flow in the larynx or lower in the bronchial tree
28
What are some associated skeletal anomalies w/ Arnold-Chiari Malformation?
Occipitalization, platybasia, basilar impression, Cx block vertebra, and cervical ribs
29
What is platybasia?
A spinal disease of a malformed relationship b/t the occipital bone and cervical spine
30
What measurement is considered normal for Arnold-Chiari Malformation?
Anything less than 3mm. Anything greater is BAD
31
What is wrong way scoliosis?
Left convex scoliosis in Tx spine
32
What is the significance of wrong way scoliosis?
Syringomyelia, AC malformation, and a neuro exam
33
What is syringomyelia?
Spinal cord cavity (syrinx)
34
What is the etiology of syringomyelia?
Pressure, tumor, congenital, AC malformation