• World Neurosurg · Mar 2018

    Review Case Reports

    Congenital Absence of the Posterior Element of C1, C2, and C3 Along with Bilateral Absence of C4 Pedicles: Case Report and Review of the Literature.

    • Guive Sharifi, Mahmoud Lotfinia, Ramin Rahmanzade, Ahmad Ali Lotfinia, Reza Rahmanzadeh, Mahmoud Omidbeigi, and Emami Tohid Meybodi.
    • Department of Neurosurgery, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
    • World Neurosurg. 2018 Mar 1; 111: 395-401.

    BackgroundAbnormalities of the posterior arch of vertebrae are rare conditions that may incidentally be found on neck radiographs. We report a case and present a comprehensive review of the literature.Case DescriptionA 10-year-old boy presented with intermittent paresthesia in the lower extremities, mild neck pain, and episodes of drop attacks following neck flexion. Radiologic investigations depicted a complete absence of the posterior element of C1, C2, and C3 along with bilateral absence of C4 pedicles.ConclusionsThe diagnosis of posterior arch abnormalities is of high-level of importance because of resultant neurologic defects. To the best of our knowledge, no case of this type has been reported in literature thus far.Copyright © 2017 Elsevier Inc. All rights reserved.

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