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Anterior Inferior View of Atlantoaxial Junction and Brainstem

Surgical Correlation


Anterior inferior view of atlantoaxial junction and brainstem.  The anterior aspect of the body of the axis (C2 vertebra) with its upward projecting dens into the vertebral foramen of the atlas is in view. The anterior arch of the atlas (C1 vertebra) has been drilled away to demonstrate this relationship. The foramen magnum is continuous with the vertebral canal. At this junction the vertebral arteries pass posterior to the rootlets of the hypoglossal nerve and anterior to the spinal root of the spinal accessory nerve. Near the pontomedullary junction the vertebral arteries unite to form the basilar artery that ascends on the ventral surface of the pons. Near its origin it gives off the anterior inferior cerebellar arteries. (Image courtesy of PA Rubino)