Turkish Journal of Physical Medicine and Rehabilitation 2009 , Vol 55 , Num 2
Kimmerle’s Anomaly: A Case Report
Mustafa Akif Sarıyıldız 1 ,Nihal Özaras 2
1 Dicle Üniversitesi Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Diyarbakır, Türkiye
2 Bezmialem Vakıf Üniversitesi Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, İstanbul, Türkiye

The Kimmerle’s anomaly is the anatomical variant of the first cervical vertebrae. There is an osseous ponticle or calcified ligament around the sulcus of arteria vertebralis. Symptoms occur by compression of the vertebral artery and peripheral nervous structures in this osseous channel. In this report we present a 35-year-old female patient with chronic headache and vasomotor symptoms. Kimmerle’s anomaly should be taken into consideration in patient with chronic headache and vasomotor symptoms. 

Keywords : Kimmerle’s anomaly, cervical manipulation, chronic headache