Kimmerle anomaly: history of discovery, classification, and evolution of clinical concepts

UMMATKULOVA, Shakhzoda, ALIEV, Mansur Abdukholikovich, УММАТКУЛОВА, Шахзода Тулкин кизи, АЛИЕВ, Мансур Абдухоликович, UMMATQULOVA, Shaxzoda To‘lqin qizi, ALIYEV, Mansur Abduxoliqovich

Research Focus · 2026-yil

Annotatsiya

Background. Kimmerle anomaly is an anatomical variant of the atlas characterized by formation of a partial or complete osseous bridge over the vertebral artery groove on the posterior arch of C1. Initially regarded predominantly as an anatomical and radiographic curiosity, the anomaly subsequently attracted clinical interest because of its close relationship with the V3 segment of the vertebral artery, the suboccipital nerve, and the surgical anatomy of the craniovertebral junction. Materials and Methods. A structured narrative review of classical and contemporary publications addressing the historical description, terminology, epidemiology, morphological classification, radiological evaluation, vascular relationships, and surgical relevance of Kimmerle anomaly was performed. Historical anatomical and radiographic studies were compared with modern CT, CT angiographic, morphometric, systematic-review, and meta-analytic evidence. Results. Concepts regarding Kimmerle anomaly evolved from recognition of an anatomical bony bridge to radiographic identification, epidemiological characterization, morphological classification, appreciation of C1 instrumentation-related risk, and, more recently, assessment of potential dynamic neurovascular conflict. Classification systems progressed from simple complete/incomplete forms to laterality-based, morphometric, and vascularly oriented phenotypes. Contemporary evidence emphasizes that morphological presence alone does not demonstrate symptom causality. Conclusion. The concept of Kimmerle anomaly has evolved from a simple atlas variant into a patient-specific craniovertebral phenotype with morphological, vascular, neurological, and surgical dimensions. Contemporary clinical interpretation requires separation of incidental anatomy from surgically significant morphology and dynamically verified symptomatic neurovascular conflict.

Maqola ma’lumotlari
MualliflarUMMATKULOVA, Shakhzoda, ALIEV, Mansur Abdukholikovich, УММАТКУЛОВА, Шахзода Тулкин кизи, АЛИЕВ, Мансур Абдухоликович, UMMATQULOVA, Shaxzoda To‘lqin qizi, ALIYEV, Mansur Abduxoliqovich
JurnalResearch Focus
NashriyotВетеринария ИТИ ва “Илм-фан ва инновациялар академияси” МЧЖ
ISSN2181-3833
Nashr sanasi2026-10-05
Jild5
Son9
Betlar33-42
TilIngliz
Ilmiy sohaVeterinariya
DOI10.66073/refocus.v5i9.0903
Indeksga qo‘shilgan2026-10-18

DOI: 10.66073/refocus.v5i9.0903 · Maqolaning asl sahifasi

Kalit so‘zlar

Kimmerle anomaly, ponticulus posticus, arcuate foramen, atlas, vertebral artery, V3 segment, craniovertebral junction, classification, history, Kimmerle anomaliyasi, orqa yoy, arcuate foramen, atlas, C1, vertebral arteriya, V3 segment, kraniovertebral birikma, tasnif, tarix, аномалия Киммерле, ponticulus posticus, arcuate foramen, атлант, позвоночная артерия, V3-сегмент, краниовертебральный переход, классификация, история

Ilmiy soha

Veterinariya

Iqtibos keltirish

APAUMMATKULOVA, Shakhzoda, ALIEV, Mansur Abdukholikovich, УММАТКУЛОВА, Шахзода Тулкин кизи, АЛИЕВ, Мансур Абдухоликович, UMMATQULOVA, Shaxzoda To‘lqin qizi, & ALIYEV, Mansur Abduxoliqovich (2026). Kimmerle anomaly: history of discovery, classification, and evolution of clinical concepts. Research Focus, 5(9), 33-42. https://doi.org/10.66073/refocus.v5i9.0903
GOST (OAK)UMMATKULOVA, Shakhzoda va b. Kimmerle anomaly: history of discovery, classification, and evolution of clinical concepts // Research Focus. – 2026. – T. 5, № 9. – P. 33-42. – DOI: 10.66073/refocus.v5i9.0903.
MLAUMMATKULOVA, Shakhzoda, ALIEV, Mansur Abdukholikovich, УММАТКУЛОВА, Шахзода Тулкин кизи, АЛИЕВ, Мансур Абдухоликович, UMMATQULOVA, Shaxzoda To‘lqin qizi, and ALIYEV, Mansur Abduxoliqovich. “Kimmerle anomaly: history of discovery, classification, and evolution of clinical concepts.” Research Focus, 5(9), 33-42, 2026. https://doi.org/10.66073/refocus.v5i9.0903
ChicagoUMMATKULOVA, Shakhzoda, ALIEV, Mansur Abdukholikovich, УММАТКУЛОВА, Шахзода Тулкин кизи, АЛИЕВ, Мансур Абдухоликович, UMMATQULOVA, Shaxzoda To‘lqin qizi, and ALIYEV, Mansur Abduxoliqovich. “Kimmerle anomaly: history of discovery, classification, and evolution of clinical concepts.” Research Focus, 5(9), 33-42 (2026). https://doi.org/10.66073/refocus.v5i9.0903
HarvardUMMATKULOVA, Shakhzoda, ALIEV, Mansur Abdukholikovich, УММАТКУЛОВА, Шахзода Тулкин кизи, АЛИЕВ, Мансур Абдухоликович, UMMATQULOVA, Shaxzoda To‘lqin qizi, and ALIYEV, Mansur Abduxoliqovich (2026) ‘Kimmerle anomaly: history of discovery, classification, and evolution of clinical concepts’, Research Focus, 5(9), 33-42. https://doi.org/10.66073/refocus.v5i9.0903
BibTeX
@article{ummatkulovashakhzoda2026,
  title = {Kimmerle anomaly: history of discovery, classification, and evolution of clinical concepts},
  author = {UMMATKULOVA, Shakhzoda and ALIEV, Mansur Abdukholikovich and УММАТКУЛОВА, Шахзода Тулкин кизи and АЛИЕВ, Мансур Абдухоликович and UMMATQULOVA, Shaxzoda To‘lqin qizi and ALIYEV, Mansur Abduxoliqovich},
  journal = {Research Focus},
  year = {2026},
  volume = {5},
  number = {9},
  pages = {33-42},
  doi = {10.66073/refocus.v5i9.0903},
  url = {https://doi.org/10.66073/refocus.v5i9.0903}
}

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