Traumatic longitudinal clival fracture in a child--case report.
A 7-year-old boy presented with a longitudinal clival fracture following a traffic accident. The boy presented only with temporary unconsciousness despite suffering a fracture of the clivus. Fractures of the clivus are often caused by severe head trauma, and the mortality rate is high due to coexisting injury of the adjacent vessels, brain stem, and lower cranial nerves. Review of the radiological and clinical findings of longitudinal clival fractures found that all reported pediatric patients with longitudinal clival fracture, including the present case, suffered an occipital impact, whereas the majority of longitudinal clival fractures in adults occur following frontal or axial impact.
Department of Neurosurgery, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki, Kanagawa, Japan. gen21@marianna-u.ac.jp
Hajime
H
Ono
Masashi
M
Uchida
Yuichiro
Y
Tanaka
Katsuyuki
K
Tanaka
Takuo
T
Hashimoto
D000063:Accidents, Traffic; D001930:Brain Injuries / Q000000981:diagnostic imaging / Q000473:pathology* / Q000503:physiopathology; D002648:Child; D003388:Cranial Fossa, Posterior / Q000000981:diagnostic imaging / Q000293:injuries* / Q000473:pathology*; D015600:Glasgow Coma Scale; D016489:Head Injuries, Closed / Q000000981:diagnostic imaging / Q000473:pathology* / Q000503:physiopathology; D006801:Humans; D008297:Male; D011859:Radiography; D020127:Recovery of Function / Q000502:physiology; D020205:Skull Fracture, Basilar / Q000000981:diagnostic imaging / Q000473:pathology* / Q000503:physiopathology; D020206:Subarachnoid Hemorrhage, Traumatic / Q000000981:diagnostic imaging / Q000473:pathology