Cervical vertebral anomalies are often associated with malformations or tra
umas, they may be completely asymptomatic and represent an occasional findi
ng in vertigo or can cause severe neurologic complications (ie, compression
of the upper cervical spine with myelopathy, epilepsy, or respiratory fail
ure). This clinical case is a patient who came to us for observation for a
peripheral harmonic vestibular syndrome, and in whom a malformation of the
cervical vertebral joint (os odontoideum) was occasionally found on magneti
c resonance imaging.