Abstract
Background: Isolated symptomatic cervical stenosis of the atlas is quite rare; there have been 11 cases reported in literature.Case Description: A 76-year-old male presented with myelopathy attributed to C1 arch stenosis. Neuroimaging studies revealed posterior atlas compression of the spinal cord. Following a cervical laminectomy involving excision of the arch of the atlas, and the patient’s symptoms resolved.Conclusion: C1 stenosis resulting in cervical myelopathy due to posterior compression from the arch of the atlas is easily missed. Notably, C1 arch laminectomy may be very effective in resolving this entity.
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