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A patient with the Klippel-Feil syndrome is described who presented with pain in the neck after a trauma. No fractures were found. Instead, a midline cleft in both the anterior and posterior atlantic arches was found which represents an extremely rare congenital anomaly.
We report a patient with disseminated malignancy and a complex anomaly of C1 and C2 in whom CT confirmed the developmental nature of the bony abnormalities.