Occipital condyle fracture associated with Jefferson's fracture and injury of lower cranial nerves: case report

Occipital condyle fracture associated with Jefferson's fracture and injury of lower cranial nerves: case report

Title: Occipital condyle fracture associated with Jefferson's fracture and injury of lower cranial nerves: case report;
Fratura de côndilo occipital associada a fratura de Jefferson e lesão dos nervos cranianos caudais: relato de caso
Author Falavigna, Asdrubal Autor UNIFESP Google Scholar
Silva, Fabricio Molon da Google Scholar
Hennemann, Alessandra Souto Google Scholar
Institution Univ Caxias Sul
Universidade Federal de São Paulo (UNIFESP)
Abstract Occipital condyle fracture (OCF) is rarely seen and can be missed during medical evaluation due to the variety of clinical presentations and the difficulty to be visualized radiographically. This fracture can be associated with cranial nerves injuries (31%), being the hipoglossal nerve the most frequently involved (67%). We report a 58 years old female patient who presented with OCE, injury of lower cranial nerves and Jefferson's fracture. the patient was treated with cervical traction for six weeks followed by halo immobilization for three months. There was bone consolidation recovery of the nervous injury after this period. This report emphazises the importance of investigating the skull-cervical transition in all patients with cervical trauma. Although Jefferson's fracture is rarely associated with OCF, it should be remembered and treated appropriately when diagnosed.
Keywords occipital condyle fracture
Jefferson's fracture
cranial nerves palsy
Language Portuguese
Date 2002-12-01
Published in Arquivos de Neuro-psiquiatria. São Paulo, SP: Assoc Arquivos de Neuro- Psiquiatria, v. 60, n. 4, p. 1038-1041, 2002.
ISSN 0004-282X (Sherpa/Romeo, impact factor)
Publisher Assoc Arquivos de Neuro- Psiquiatria
Extent 1038-1041
Origin http://dx.doi.org/10.1590/S0004-282X2002000600030
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000180010700030
SciELO ID S0004-282X2002000600030 (statistics in SciELO)
URI http://repositorio.unifesp.br/handle/11600/27054

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