8/
⚠️ Clinical Red Flags (Require Urgent Attention):
• Sudden onset “thunderclap” headache
• Fever with neck stiffness
• Focal neurological deficits
• New-onset headache after 50 years of age
A 20-hour train delay is not a minor inconvenience — it disrupts work, health, family commitments, and basic dignity of passengers. This is unacceptable.
Kindly take accountability and improve coordination.
@RailMinIndia@AshwiniVaishnaw
@Flipkart, disappointed with the irregularities in order delivery. Order confirmed and shipped on 22nd Sep '25, but cancelled unexpectedly at 6:04pm due to an unspecified issue. Please address this! #Flipkart#OrderCancellation
Afraid to stick your neck out when it comes to naming cervical spine ligaments?
Know the anterior longitudinal ligament (ALL) & that’s ALL?
Is the nuchal ligament a NEW CALL for you?
How many ligaments do YOU know?
Here’s are the ligaments to know & how you can remember them
➡️ALL:
🔸As it’s name implies, it runs ALL the way down the spine from the occiput to the sacrum
🔸It’s the ANTERIOR longitudinal ligament so it is ANTERIOR to the vertebral bodies
➡️PLL:
🔸PLL stands for POSTERIOR longitudinal ligament, so it’s posterior to vertebral bodies
🔸I call it “PARTIALLY longitudinal ligament” bc it only runs from C2 inferiorly
🔸Above C2 it’s the tectorial membrane.
🔸I remember this bc it has a different name but is TECT-nically part of the PLL
➡️Cranio-cervical ligaments:
🔸In the sagittal plane C2 looks like a mountain peak
🔸Ligaments here are arranged how you climb a mountain!
▶️AT Last you reach the ANTERIOR mountain (first is ANTERIOR ATLanto-occipital membrane)
▶️You hike up the APEX (next is APICAL ligament)
▶️Finally, you have to TRAVERSE the LONG way down (TRANSVERSE & LONGitudinal fibers)
➡️Posterior ligaments:
▶️Ligamentum flavum:
🔸I remember this bc Flavum & Facets both start w/F = Flavum is by the Facets
🔸F is also for FAR FIVE, so ligamentum flavum is only on the lowest/farthest five cervical vertebral bodies
🔸Above this, membranes are named for what they connect (posterior atlanto-occipital & posterior atlanto-axial membrane)
▶️Nuchal ligament:
🔸This is where we see the nuchal fold & is the equivalent of the supraspinous ligament from the occiput to C7.
Now you know the major cervical ligaments you can see on sagittal images!
Hopefully, now you will be ready when injury to these structures occurs in your neck of the woods!