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Case Reports
. 1989 Jul;71(1):141-3.
doi: 10.3171/jns.1989.71.1.0141.

Foramen magnum syndrome from pseudogout of the atlanto-occipital ligament. Case report

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Case Reports

Foramen magnum syndrome from pseudogout of the atlanto-occipital ligament. Case report

S F Ciricillo et al. J Neurosurg. 1989 Jul.

Abstract

The authors report a case of progressive foramen magnum syndrome due to deposits of calcium pyrophosphate dihydrate crystals, which caused reactive hypertrophy in the posterior longitudinal ligament at C-1 and in the transverse ligament of the atlas in an 84-year-old woman. This is the first reported case of symptomatic pseudogout in this anatomic location. Rapid neurological recovery followed transoral decompression of the cervicomedullary junction.

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