Can you identify the fracture?
The left lateral mass of C6 is fractured. Although the fracture is minimally displaced, there is exaggerated cervical kyphosis from this level.
Any cause to explain the presentation of left hand parasthesia?
The combination of bone and disc changes around the left C6 foramen will possible cause nerve compression (confirmed on subsequent MRI).
Any vascular findings to comment on?
It is important to comment on arch anatomy - if there's something that needs fixed the team need to know the best way to get there. Both internal carotids take an unusual retropharyngeal path, almost meeting in the middle - termed "kissing carotids". There is reduced flow, and segments with no flow, in the left vertebral artery. This is almost certainly due to dissection sustained at the point of spinal injury.
Conventional arch anatomy. Incidental "kissing carotids" configuration.
Left vertebral artery dissection with thread-like vessel and multiple foci of disrupted flow. No extrinsic compression or haematoma.
Normal right vertebral artery.
Left C6 lateral mass fracture with cervical kyphosis.