Finney H L, Roberts T S
J Neurosurg. 1978 Apr;48(4):636-8. doi: 10.3171/jns.1978.48.4.0636.
A patient is presented who had neck pain and transient episodes of visual-field defect followed by unconsciousness when he hyperextended his neck. Radiographic examination revealed atlantooccipital instability on flexion and extension views. Treatment by fusion of the occiput to C-2 resulted in relief of symptoms.