This case report details how skull base osteoradionecrosis at the craniovertebral junction can present insidiously with mild neck pain years after definitive head and neck radiotherapy, highlighting early recognition–with consideration of therapies such as pentoxyfilline, vitamin E and/or bisphosphonates–may promote fracture healing and avoid catastrophic neurologic or spinal instability. | Khatri, Pract Radiat Oncol 2026
