Get FORMED:
The location of the C2 dorsal root ganglion, its relatively larger size and the narrow window that it passes through can render it vulnerable to compression syndromes. These may manifest as intermittent bouts of shooting pains felt over the top of the skull towards the eye. This possibility necessitates a thorough evaluation of the upper cervical spine for ligamentous integrity and dynamic stability [as well as differential diagnosis to rule out other possible symptom etiologies].
Anatomic considerations of C2 nerve root ganglion.
Dissection and observation of the dorsal root ganglion of the second cervical spinal nerve bilaterally.
OBJECTIVES:
To determine the position of the C2 dorsal root ganglion and the heights of the C2 ganglion and its corresponding foramen.
SUMMARY OF BACKGROUND DATA:
The dorsal root ganglion has been well studied in the middle and lower cervical spine and in the lumbar spine. In no previous study are the position and height of the C2 dorsal root ganglion and its corresponding foramen described.
METHODS:
Fifteen cadaveric cervical spines were exposed posteriorly. The C2 nerve roots and ganglia were dissected between the arch of the atlas and the lamina of the axis. The heights of the C2 ganglion and foramen were measured. The location of the C2 ganglion was also macroscopically observed.
RESULTS:
The heights of the C2 ganglion and foramen are 5.7 +/- 0.8 mm and 7.7 +/- 1.2 mm, respectively. The C2ganglion occupies 76% of the foramen height. All C2 dorsal root ganglia are confined within foramens between the arch of the atlas and the lamina of the axis.
CONCLUSIONS:
The C2 dorsal dorsal root ganglia are all proximally placed and occupy most of the foramen height, which may render the C2 ganglion vulnerable to entrapment.
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