CASE A
Sagittal computed tomography image shows severe superior migration of the dens across the foramen magnum. Exaggerated cervical spine lordosis is also present.

CASE B
Sagittal computed tomography image shows a nearly horizontal configuration of the clivus. In addition, the dens and atlas are positioned far superior to the level of Chamberlain’s line. Also note the diffuse osteopenia.

Diagnosis

Case A

Basilar invagination

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