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Fig. 1. Normal cervical spine. Section through the odontoid process of C2 and the posterior arches of Cl in a newborn girl. The anterior arch of Cl is not yet ossified. Note the normal sagittal cleft between the two ossification centers of the odontoid, and the normal wide cartilagenous junction in the midline posteriorly. There is a small amount of Metrizamide in the subarachnoid space. The cervical cord is round and centI;ally placed. The number of ossification centers in the C1 vertebra varies in the anterior and posterior arches.

The persistence of the canal of Kovalevsky is always accompanied by some form of anterior vertebral dysraphism as well as abnormalities of neural elements and of tissue derived from the entoderm, for instance, enteric duplications (Harwood-Nash and Fitz, 1976). The neurenteric cyst is most often situated in the upper thoracic region but may occur at any level of the canal. The lesion was previously regarded as very rare but again with improving neuroradiologic techniques and especially with the introduction of CTMM, the possibility of revealing the lesion has increased (Harwood-Nash and Fitz, 1980).

Neuroradiology 15: 73-78 Gardner WJ (1965) Hydrodynamic mechanism of syringomyelia: its relationship to myelocele. Neurol Neurosurg Psychiatr 28: 247-259 Harwood-Nash DC, Fitz CR (1976) Neuroradiology in infants and children. CV Mosby, St. Louis Harwood-Nash DC, Fitz CR (1980) Computed tomography and the pediatric spine: computed tomographic Metrizamide myelography in children. In: Post MJD (ed) Radiographic evaluation of the spine. Masson, New York, pp 4-33 Hoffman HJ, Hendrick EB, Humphreys RP (1976) The tethered spinal cord: its protean manifestations, diagnosis and surgical correction.

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