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¹Visiting research fellow from. Giilhane Military Medical Faculty Ankara I TURKEY
²Consultant Neurosurgeon Department of Surgical Neurology The National Hospitals for Neurology + Neurosurgery Queen Square London / ENGLAND Patients with anterior pathology in the atlanto-axial region who present as neurological emergencies require urgent brain-stem decompression. Anterior decompression remains the only alternative to progressive tetraplegia and a fatal outcome. In this study, the anatomical. embryological ad surgical pathological literature is reviewed through the eyes of the transoral surgeon in order to provide a safe approach to the atlas and axis. Keywords : Atlas, Axis, Transoral Surgery