One case of the atlanto-axial dislocation with basilar impression was reported. A thirty six year-oid female who been on the physio-therapy after a fracture of the femur died by the sudden apnea. The findings of autopsy were the stenosis of foramen magnum caused by the protrusion of clivus and basi-occipital and severe degenerative changes of the spinal cord. Roentgenograms revealed an elevation of odontoid process over the McGregor's line and the digastric line of Fishgold. These findings indicated that this case had a basilar impression of the anterior-lateral type.