case_images: PMC6394184_01
case_images: X-ray showing increased soft-tissue shadow
case_images: IJOrtho-53-204-g001.jpg
case_images: PMC6394184_01_IJOrtho-53-204-g001.jpg
case_images: F1
case_images: The patient had X-ray of cervical spine showing increased soft-tissue shadow [Figure 1] andmagnetic resonance imaging (MRI) of occipitocervical junction and cervical spine.
case_images: Magnetic resonance imaging showing craniovertebral prevertebral abscess at initial presentation
case_images: IJOrtho-53-204-g002.jpg
case_images: PMC6394184_01_IJOrtho-53-204-g002.jpg
case_images: F2
case_images: An MRI was suggestive of destruction of atlas and axis vertebra with an abscess in the prevertebral region and cord having a mild compression from anterior aspect [Figure 2].
case_images: Magnetic resonance imaging showing craniovertebral healed lesion
case_images: IJOrtho-53-204-g003.jpg
case_images: PMC6394184_01_IJOrtho-53-204-g003.jpg
case_images: F3
case_images: ATT was given for 18 months. At followup of 4 years, flexion and extension X-ray of cervical spine shows no instability, on repeat MRI there are healed lesion of C1-C2 spine with no abscess [Figure 3].
case_images: Clinical photograph showing the tongue deviation in Case 1
case_images: IJOrtho-53-204-g004.jpg
case_images: PMC6394184_01_IJOrtho-53-204-g004.jpg
case_images: F4
case_images: Clinically, she has no neck pain, there is a terminal restriction of neck nodding movements, and on the protrusion of tongue there is deviation of tongue with hypotrophy on the right side [Figure 4].
case_images: PMC6394184_02
case_images: Computed tomography showing destruction at C1 in Case 2
case_images: IJOrtho-53-204-g005.jpg
case_images: PMC6394184_02_IJOrtho-53-204-g005.jpg
case_images: F5
case_images: C1-C2 level with increased prevertebral shadow. CT was done which also showed destructive lesion in C1 vertebra [Figure 5].
case_images: Clinical photograph showing the tongue deviation in Case 2
case_images: IJOrtho-53-204-g006.jpg
case_images: PMC6394184_02_IJOrtho-53-204-g006.jpg
case_images: F6