Cranio-Cervical Syndrome includes a group of associated symptoms that are collectively caused by an abnormality in the neck that may be congenital or acquired due to an injury.

Two neck bones, C1 and C2 (also known as atlas and axis), sit under the skull and are held in place by muscles, ligaments and tendons, unlike the rest of the spine. The rest of the spine has bony locks that hold them in place. So if you experience a sudden injury to the head and neck, the ligaments, tendons and muscles are not able to hold the joint in place as they normally would. The natural postural reflex becomes invalid. Due to the fact that C0-C1-C2 are the most freely moving joints in the spine, we may encounter a rotation error or misalignment of C1. This misplacement or misalignment begins to cause problems in the body. Therefore, headache, increased pressure, neck pain, numbness in the head or neck, tingling and dizziness may develop.

A misalignment in C0-C1-C2 can also be caused by poor posture, birth trauma, falling from a tree as a child and sitting at a desk. However, the most common way to see major trauma produced is a concussion or a car accident caused by sports or work-related injuries. When an injury occurs, it is only a matter of time before the physiology of the body begins to be affected by the structural underlying problem. Sometimes it can take up to 5-10 years for the symptoms to really turn into a problem. I hear this all the time, “I had an accident or a fall 5-10 years ago,” I didn’t feel it much then. Then the other day I started to feel really pain in my head and neck and I started to get dizzy.

When the brain detects an upper cervical (C1-C2) alignment disorder, it sends information through the vestibulospinal tract to activate muscles to help regulate head and eye position. This causes physiological shortening of the postural muscles. The result will be a short leg. This causes the body to tilt and the development of scoliosis in the spine. It may develop lower back problems as it may affect the muscles in the waist area and the load vovated on the spine will increase.

The brain stem is the way of communication between the brain and the body. If he is under stress due to misalignment (C1-2), he may send inappropriate signals (Headache- Vertigo-Tinnitus- Chronic pain syndrome). Pressure sensors in the upper neck cannot send messages to the brain. Balance problems arise because the brain stem does not transmit the appropriate signals from the ears. Cerebrospinal fluid flow and blood flow are blocked due to stress on the brain stem.

The symptoms are usually dizziness, chronic headache, tinnitus, facial pain, ear pain, difficulty swallowing and shortness of breath.

Cranio Cervical Syndrome is associated with a number of symptoms centered around different types of headaches and different types of neck pain, including:

Pressure Headaches or migraines

Sub-occipital neck pain (at the base of the skull “at the back of the neck”)

Neck pain is often related to the position (e.g. “Skull to the front”, “skull to the back”, “rotation of the head”, etc.)

Neck pain, defined as ” stabbing” or “pin prick at the base of the skull”

Headaches that occur randomly during the day but are often caused by a change in head position (for example, the transition of the head from a prone position to an upright position)

Headaches accompanied by tinnitus and visual disturbances such as “blurred vision”, “double vision”, “kaleidoscopic vision”, nystagmus

Pressure-type headaches accompanied by dementia and loss of cognitive skills

In order to correct this misalignment in the upper cervical region, a detailed evaluation is performed first. The purpose of the evaluation is to determine the direction, amount of misalignment and determine the correct correction technique. After the evaluation, correction is carried out with the appropriate position and technique. It is necessary that the specialist who will perform the operation has mastery over this region and has experience.



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President of Organ Transplant Center at MedicalPark Hospital Antalya

Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.

Physician's Resume:

Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.

Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.

In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.


Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.


Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .

Professional Members:

American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.


Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.
Medically Reviewed by Professor Doctor Alper Demirbaş
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