Basilar invagination is an uncommon condition that occurs when the upper portion of the second vertebra (C2) moves upward. This may cause compression of the spinal cord and brainstem, creating a variety of neurologic problems, including sudden death.
Basilar invagination may:
If you need surgery, UPMC surgeons will use the Endoscopic Endonasal Approach (EEA) to treat basilar invagination. This innovative, minimally invasive technique uses the nose and nasal cavities as natural corridors to access hard-to-reach or previously inoperable areas.
EEA benefits include:
Your doctor will ask you about your symptoms.
These may include:
Symptoms of basilar invagination can become worse with flexion of the head, which even further drapes the brainstem and/or spinal cord over the upper portion of the second vertebra.
Doctors use imaging studies — such as head x-rays, CT, and MRI scans — to diagnose basilar invagination.
For basilar invagination that is not compressing the spinal cord may include non-surgical treatments such as:
UPMC neurosurgeons will use the Endoscopic Endonasal Approach (EEA) to decompress the brainstem and spinal cord.
This state-of-the-art, minimally invasive surgical procedure uses the nose as a natural corridor to reach these lesions, without any incisions in the face or head.
Most patients will subsequently need posterior cranio-cervical fusion to prevent recurrence and to stabilize the joints.
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