Fracture of the occipital condyle

Bolender, Nicole‐Francoise; Cromwell, Laurence D.; Wendling, Laurent

doi:10.2214/ajr.131.4.729

Cited by 46 publications

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“…9,11,13,14 O trauma crânio-encefálico acompanha a grande maioria dessas fraturas, o que também dificulta seu diagnóstico e sendo muitas vezes o responsável pelo óbito dos mesmos. Cabe ressaltar ainda a possível associação dessas lesões às fraturas de vértebras cervicais.…”

Section: Discussionunclassified

Fraturas do côndilo occipital: atualização da experiência em nosso serviço e revisão da literatura

et al. 2013

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RESUMOApresentamos neste trabalho a casuística de fraturas de côndilo occipital diagnosticada e tratada em nosso serviço nos últimos 10 anos. O presente estudo dá continuidade ao levantamento epidemiológico já realizado no período de 1993 a 2000. No período de 2001 a 2011, foram diagnosticados seis casos de fraturas de côndilo occipital e todos eles foram tratados de forma conservadora, exceto um, no qual se colocou um halo craniano inicialmente. Nos cinco casos tratados de modo conservador, observaram-se bons resultados, com estabilidade do segmento nas radiografias funcionais, ausência de limitação de movimento e ausência de dor. O paciente que foi tratado com halo apresentava tetraplegia parcial FRANKEL C e fraturas associadas (C5, C6, L1 e L2) e não apresentou melhora do quadro neurológico, verificando-se limitação do movimento cervical. Destacamos ainda a importância da investigação ativa de lesões na transição occipitocervical, principalmente nos casos decorrentes de trauma de alta energia, pois além das implicações clínicas da detecção precoce da fratura, o melhor emprego dos exames subsidiários tem sido um fator relevante para o aumento da incidência de fraturas do côndilo occipital. Como é historicamente relatado, o tratamento conservador ainda é eficaz e com baixo índice de complicações, e o tratamento cirúrgico deve ser indicado em casos com instabilidade definida.Descritores: Osso occipital; Traumatismos craniocerebrais; Humanos. ABSTRACTWe present a series of occipital condyle fractures diagnosed and treated in our hospital during the past 10 years. The present study continues an epidemiologic survey already performed in the period 1993 -2000 . From 2001 to 2011

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Section: Discussionunclassified

Fraturas do côndilo occipital: atualização da experiência em nosso serviço e revisão da literatura

et al. 2013

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“…Since their investigation, only seven more cases have been added to the literature. The age of these patients ranged from 3 years to 71 years [1][2][3][4][5][6][7][8][9][10].…”

Section: Casementioning

confidence: 99%

“…A single or a combination of cranial nerve palsies may be present. These can involve the ninth, tenth, eleventh, and twelfth cranial nerves [2,5,7]. Palsies of all of these cranial nerves represent the Collet-Sicard syndrome [2,5].…”

Section: Casementioning

confidence: 99%

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Computed tomography and three-dimensional reconstruction in the evaluation of occipital condyle fracture

1993

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Two cases of a rare Anderson type III occipital condyle fracture are presented. In any patient sustaining craniovertebral injury an occipital condyle fracture may be missed because plain films can be unremarkable. It is important to include computed tomography or coronal hypocycloidal tomography for all suspect cases of craniovertebral junction injury. Although three-dimensional reconstruction did not alter therapy for this injury, spatial localization of the fracture fragment was enhanced by this method. Serious neurological deficits are possible if this unusual injury is not treated.

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“…1 One of the causes of traumatic twelfth nerve injury is occipital condylar fracture, which itself has been rarely documented. 2 ' 9 This case of cranial condylar fracture causing bilateral twelfth nerve injury has been followed for five years. The location, mechanism, and possible therapeutic implications of hypoglossal nerve injury from such a fracture are discussed.…”

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Bilateral Hypoglossal Nerve Injury with Occipital Condylar Fracture

Lam

Stratford

1996

Can. j. neurol. sci.

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Background: A 20-year-old woman with a right occipital condylar fracture and bilateral hypoglossal nerve injury is presented. Only 17 cases of condylar fracture have been reported in the literature. Methods: The patient was evaluated with plain films, coronal and axial cut CT, and MRI. Results: MRI showed a severely distorted but otherwise normal medulla and a displaced condylar bone fragment. Conclusion: Condylar fracture may cause twelfth nerve palsy by injuring the central or peripheral nerve. RESUME: Lesion bilaterale du nerf hypoglosse lors d'une fracture du condyle occipital. Introduction: Nous pr&entons le cas d'une jeune femme de 20 ans qui s'est presentee avec une fracture du condyle occipital droit et une lesion bilaterale du nerf hypoglosse. Seulement 17 cas de fracture du condyle ont 6t€ rapporu5s dans la litte'rature. Methodes: La patiente a 6t6 investigu6e par radiographic simple, CT coronale et axiale et IRM. Resultats: On pensait anterieurement que la paralysie de l'hypoglosse etait due a une 16sion pSripherique, distale par rapport au canal condylien antdrieur. Chez ce patient, 1'IRM a montr6 un bulbe rachidien tres ddformfi mais normal par ailleurs. Conclusion: S'il y a fracture du condyle, la 16sion du douzieme nerf peut etre centrale ou peYipherique.Can. J. Neurol. Sci. 1996; 23: 145-000 Hypoglossal nerve injury occurs most often extra-axially, from tumors, Pagets disease, platybasia, carotid endarterectomy, anomalously high carotid bifurcation and viral infections. Rarely, the nerve has been injured in the cranium from vertical subluxation of the odontoid secondary to rheumatoid arthritis and trauma. 1 One of the causes of traumatic twelfth nerve injury is occipital condylar fracture, which itself has been rarely documented. 2 ' 9 This case of cranial condylar fracture causing bilateral twelfth nerve injury has been followed for five years. The location, mechanism, and possible therapeutic implications of hypoglossal nerve injury from such a fracture are discussed. CASE HISTORYThis 20-year-old patient was a passenger, wearing a seat belt, in the front seat of a car. The car was hit on the side and overturned. On initial examination, she was found to be agitated with ecchymosis of the left cheek and unresponsive to painful stimuli on the right side. On arrival at the hospital, the patient was intubated, but was breathing spontaneously. She was noted to have a right clavicular fracture, right 11th rib fracture, pulmonary contusion, and gross hematuria. Neurologically, the patient was unresponsive to commands, moving the left side spontaneously, moving her right arm sluggishly, and not moving her right leg. Pupils were equal and reactive to light, conjugate in gaze, and 5.5 mm in diameter. Fundi were normal, and the corneal reflex was present. No facial palsy was noted. Reflexes were symmetrical, except for an equivocal right Babinski response. Initial radiologic findingsThe lateral (Figure 1) and AP cervical spine x-rays were normal. The open mouth view was not performed. Plain CT...

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Fracture of the occipital condyle

Cited by 46 publications

References 1 publication

Fraturas do côndilo occipital: atualização da experiência em nosso serviço e revisão da literatura

Fraturas do côndilo occipital: atualização da experiência em nosso serviço e revisão da literatura

Computed tomography and three-dimensional reconstruction in the evaluation of occipital condyle fracture

Bilateral Hypoglossal Nerve Injury with Occipital Condylar Fracture

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