Garima Sehgal

Morphometry of the celiac trunk: a multidetector computed tomographic angiographic study

Aims: We carried out this study for evaluating the normal anatomy trunk and prevalence of anatomical variations of celiac trunk in the North Indian population. Materials and methods: Computerized tomographic images of 50 North Indian subjects, obtained from the Department of Radiodiagnosis, King Georges Medical University, were retrospectively analyzed. The anatomy of the celiac trunk was studied using dynamic scans. Results: A variation in the site of origin of celiac trunk was observed in about 55% cases. The length and dimensions of the trunk also displayed a wide range of variation. Conclusion: Anatomic variations of the celiac trunk as observed by us may become important in patients undergoing diagnostic angiography for gastrointestinal bleeding or prior to an operative procedure. Recognition of variations would enable clinicians to distinguish features which merit further investigations or treatment from those which do not.

Fusion of axis with third cervical vertebra: a case report

Abstract Introduction: Fusion of one or more contiguous vertebral segments is usually the result of embryological failure of normal spinal segmentation. It may be associated with syndromes such as Klippel-Feil. Fused cervical vertebrae (FCV) may also be acquired or pathologic. FCV is generally associated with disease like tuberculosis, other infections, juvenile rheumatoid arthritis and trauma. The commonest site of involvement is C2-C3. In condition of fusion the two vertebrae appear not only structurally as one but also function as one. This anomaly may be asymptomatic; however, it may also manifest in the form of serious clinical features such as myelopathy, limitation of the neck movement, muscular weakness, atrophy or neurological sensory loss. Case report: We observed the fusion of axis with 3rd cervical vertebra. Body, laminae and spines of C2 and C3 were completely fused on both anterior and posterior aspects, whereas the pedicles and transverse processes were not fused. Foramen transversarium was present on both the vertebrae bilaterally. Conclusion: This variation is noteworthy to neurosurgeons and radiologists in studying computed tomography (CT) and magnetic resonance imaging (MRI) scans.