PMC6394184_01
X-ray showing increased soft-tissue shadow
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F1
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.
Magnetic resonance imaging showing craniovertebral prevertebral abscess at initial presentation
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F2
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].
Magnetic resonance imaging showing craniovertebral healed lesion
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F3
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].
Clinical photograph showing the tongue deviation in Case 1
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F4
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].
PMC6394184_02
Computed tomography showing destruction at C1 in Case 2
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F5
C1-C2 level with increased prevertebral shadow. CT was done which also showed destructive lesion in C1 vertebra [Figure 5].
Clinical photograph showing the tongue deviation in Case 2
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F6