We herein describe a case with calvarial Paget’s disease associated with basilar impression and platybasia leading to bulbomedullary junction compression. The patient was presented with the symptoms of increasing deafness, loss of balance, dysphagia, and neck pain spreading to the arms and skull. The diagnosis of basilar impression and detailed measurements of the craniocervical junction could be possible by the use of magnetic resonance imaging. MRI should be the preferred technique in such cases

Keywords: