CVJ CARIES

Fig 1-STIR coronal

Fig 2 -T2 sag

Fig 3- T1 sag

Fig 4- T2 axial

Fig 5- CT ( axial plane)

A 56 year old man presented with 3 months history of increasing cervical pain and stiffness. MR and CT showed bony destruction involving atlas, axis and occipital condyles with large pre/ paravertebral and epidural collections causing significant thecal sac effacement. The cord was indented but showed no signal change.