Turkish Journal of Physical Medicine and Rehabilitation 2016 , Vol 62 , Num 2
Symptomatic Kimmerle’s anomaly with vertebrobasilar insufficiency signs: a case report
Rabia Terzi 1 ,Tülay Özer 2
1 Derince Eğitim ve Araştırma Hastanesi, Fiziksel Tıp ve Rehabilitasyon Kliniği, Kocaeli, Türkiye
2 Derince Eğitim ve Araştırma Hastanesi, Radyoloji Kliniği, Kocaeli, Türkiye
DOI : 10.5152/tftrd.2015.08068 Kimmerle’s anomaly is an anatomical variant of atlas. In this article, we report a 28-year-old female patient of bilateral complete Kimmerle's anomaly presenting symptomatically with the signs of vertebrobasilar insufficiency. In particular, Kimmerle's anomaly should be considered in patients admitted with vertigo, headache, nausea, and facial paresthesia with neck pain with unexplained symptoms. Patients should be informed on the possibility of vertebral artery injury for cervical manipulation, surgery, and repeated traumas. Keywords : Atlas; computed tomography; Kimmerle’s anomaly; vertebrobasilar insufficiency