Abstract
Progressive symptoms from the cervico-cranial junction are rare, but require accurate and rapid action. For further therapy, it is necessary to choose a neurosurgical workplace that specializes in patients with rheumatic diseases and has a sufficient number of successfully operated.
The purpose of the communication was to draw attention to the issue of involvement of the cervicocranial junction. Our patient already had significant symptoms of the cervicocranial junction, including sphincter disorders.
After the operation, the finding improved slightly. No rheumatoid arthritis has been demonstrated.
It was probably an idiopathic atlantoaxial instability with the development of a virgin. The cannula spontaneously regressed after stabilization of C1-C2.
Newly diagnosed gout was only an additional factor.