Another one hot off the press- crowned dens with bilateral greater occipital neuropathies

MRN with 3D imaging can show these nerves better

But, this is the best I could see from patient’s c-spine studies

See these two articles for more knowledge

Hwang L, Dessouky R, Xi Y, Amirlak B, Chhabra A. MR Neurography of Greater Occipital Nerve Neuropathy: Initial Experience in Patients with Migraine. AJNR Am J Neuroradiol. 2017 Nov;38(11):2203-2209. doi: 10.3174/ajnr.A5354. Epub 2017 Sep 7. PMID: 28882864; PMCID: PMC7963599.

Chhabra A, Bajaj G, Wadhwa V, Quadri RS, White J, Myers LL, Amirlak B, Zuniga JR. MR Neurographic Evaluation of Facial and Neck Pain: Normal and Abnormal Craniospinal Nerves below the Skull Base. Radiographics. 2018 Sep-Oct;38(5):1498-1513. doi: 10.1148/rg.2018170194. PMID: 30207933.

Best!
AC

Avneesh Chhabra, M.D. M.B.A.

Professor Radiology & Orthopedic Surgery

Chief, Division of Musculoskeletal Radiology

UT Southwestern Medical Center, Dallas, Tx

5373 Harry Hines Blvd.

Dallas, Tx-75390-9178

Office: 214-648-2122

avneesh.chhabra@utsouthwestern.edu<mailto:avneesh.chhabra@utsouthwestern.edu>

www.utsouthwestern.edu<www.utsouthwestern.edu/>​

________________________________

UT Southwestern

Medical Center

The future of medicine, today.

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