Dear friend, welcome to Healthcaremagic! I am Dr. Prasad Akole (Critical Care Expert- http://bit.ly/Dr-Prasad-Akole) and am glad to address to your query here. Your MRI shows congenital (from birth) abnormality in the skull and neck spine- It shows the 1st neck vertebra being occipitalised (fused to the skull bone), second vertebra being dislocated from place and the skull base intruding into the spinal canal and causing serious and severe compression and old pressure changes of gliosis (bibrous replacement of nervous tissue) in the spinal cord. This is a serious defect and mostly needs surgical correction (basilar decompression and refusion) after appropriate detailed evaluation. I would advise a neuro-surgical consult with an experienced neuro-surgeon at a tertiary care hospital. Old damage to the spinal cord can not be undone. I hope to have answered your query satisfactorily. I would be glad to answer any further queries. Take care and please keep me informed of your progress at http://bit.ly/Dr-Prasad-Akole Good Luck! It helps us to improve continuously if you could please write a rating review before you ‘accept’ and ‘close’ the query. Thank you!!