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Bista N has completed her MBBS at the age of 26 years from Manipal College of Medical Sciences, Kathmandu University, Nepal on Novermber 2015. She is currently pursuing her residency training in radiology at the Bicol Medical Center, Naga City, Philippines. She is to share her interesting cases and looks forward to being actively involved in publication and further enhancing her academics and training.


Basilar impression is a congenital or acquired cranio-cervical junction abnormality where the tip of the odontoid process projects above the foramen magnum, seen as upward displacement of the dens due to softening of the bones at the skull base. The resultant foramen magnum stenosis and compression of the medulla oblongata or spinal cord can cause neurological symptoms, obstructive hydrocephalus, syringomyelia or even death. It may be acquired due to rheumatoid arthritis, Paget’s disease, hyperparathyroidism and rickets. To the best of our knowledge, cases of tuberculosis causing basilar impression are regarded rare. This case highlights the importance of ruling in of tuberculosis in endemic areas, especially in young patients with a chronic history of neck pain and features of tuberculosis. A 17 years old female presented with progressively increasing right neck mass with fistula since a year and worsening neck pain since four months. It was associated with restriction of neck movements, low grade fever, anorexia and weight loss followed by gradually progressive right sided hemiparesis since three months before presentation. Neurological examination revealed right sided hemiparesis without cranial nerve palsy. Contrast CT scan of the cranium and cervical spine revealed osteolytic lesions of the C1 and C2 bodies and clivus, vertical displacement of dens above the foramen magnum with resultant mass effect at the cervicomedullary junction, perivertebral and epidural abscess at C1-C5 with consequent spinal cord compression and cervical lymphadenopathy. There was evidence of basilar impression; the dens appearing 1 cm above the Chamberlain line. A diagnosis of craniovertebral junction for Pott's disease was made. The patient started antitubercular treatment. She showed significant improvement in her neurological deficit during follow-up. As a rare case of craniovertebral junction Pott’s disease causing basilar impression, the timely suspicion and subsequent management with antitubercular treatment played a vital role in preventing further morbidity and mortality.

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Delegates are personally responsible for their belongings at the venue. The Organizers will not be held responsible for any stolen or missing items belonging to Delegates, Speakers or Attendees; due to any reason whatsoever.


Registration fees do not include insurance of any kind.


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Regarding refunds, all bank charges will be for the registrants account.

This cancellation policy was last updated on April 04, 2015.Cancellation, Postponement and Transfer of Registration

All cancellations or modifications of registration must be made in writing to

Cancellation Policy

If Allied Academies cancels this event for any reason, you will receive a credit for 100% of the registration fee paid. You may use this credit for another Allied Academies event which must occur within one year from the date of cancellation.


If Allied Academies postpones an event for any reason and you are unable or unwilling to attend on rescheduled dates, you will receive a credit for 100% of the registration fee paid. You may use this credit for another Allied Academies event which must occur within one year from the date of postponement.

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All fully paid registrations are transferable to other persons from the same organization, if registered person is unable to attend the event. Transfers must be made by the registered person in writing to . Details must be included the full name of replacement person, their title, contact phone number and email address. All other registration details will be assigned to the new person unless otherwise specified.

Registration can be transferred to one conference to another conference of Allied Academies if the person is unable to attend one of conferences.

However, Registration cannot be transferred if it is intimated within 14 days of respective conference.

The transferred registrations will not be eligible for Refund.

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Keeping in view of increased security measures, we would like to request all the participants to apply for Visa as soon as possible.

Allied Academies will not directly contact embassies and consulates on behalf of visa applicants. All delegates or invitees should apply for Business Visa only.

Important note for failed visa applications: Visa issues cannot come under the consideration of cancellation policy of Allied Academies, including the inability to obtain a visa.

Refund Policy:

If the registrant is unable to attend, and is not in a position to transfer his/her participation to another person or event, then the following refund arrangements apply:

Keeping in view of advance payments towards Venue, Printing, Shipping, Hotels and other overheads, we had to keep Refund Policy is as following slabs-

  • Before 60 days of the conference: Eligible for Full Refund less $100 service Fee
  • Within 60-45 days of Conference: Eligible for 50% of payment Refund
  • Within 45 days of Conference: Not eligible for Refund
  • E-Poster Payments will not be refunded.

Accommodation Cancellation Policy:

Accommodation Providers (Hotels) have their own cancellation policies, and they generally apply when cancellations are made less than 30 days prior to arrival. Please contact us as soon as possible, if you wish to cancel or amend your accommodation. Allied Academies will advise the cancellation policy of your accommodation provider, prior to cancelling or amending your booking, to ensure you are fully aware of any non-refundable deposits.


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