[Occipital condyle fracture associated with Jefferson's fracture and injury of lower cranial nerves: case report].
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 OCF, 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.
Falavigna
Asdrubal
A
Neurologia da Universidade de Caxias do Sul, Caxias do Sul, RS, Brasil.
da Silva
Fabrício Molon
FM
Hennemann
Alessandra Souto
AS
D002574:Cervical Vertebrae / Q000000981:diagnostic imaging / Q000293:injuries*; D020209:Cranial Nerve Injuries / Q000209:etiology* / Q000628:therapy; D005260:Female; D006801:Humans; D008875:Middle Aged; D009777:Occipital Bone / Q000000981:diagnostic imaging / Q000293:injuries*; D010243:Paralysis / Q000209:etiology / Q000628:therapy; D011859:Radiography; D012887:Skull Fractures / Q000000981:diagnostic imaging* / Q000628:therapy; D016103:Spinal Fractures / Q000000981:diagnostic imaging* / Q000628:therapy; D014060:Tongue Diseases / Q000209:etiology / Q000628:therapy