Atlanto-occipital dissociation

Case contributed by RMH Core Conditions

Presentation

High speed motor vehicle collision.

Patient Data

Age: 32
Gender: Female
Modality: CT

Alignment of the spine is disrupted.

Widening of bilateral atlanto-occipital joints is present consistent with severe ligamentous spinal injury and atlantooccipital dissociation.

High density material is demonstrated posterior to the dens and would be in keeping with haematoma which extends intracranially.

No cervical spine fracture is identified. ETT and NGT present and therefore prevertebral soft tissues cannot be assessed.

Case Discussion

The atlanto-occipital alignment is most easily assessed on coronal and sagittal planes and should be actively assessed on every trauma cervical spine study. 

PlayAdd to Share

Case Information

rID: 33848
Case created: 27th Jan 2015
Last edited: 10th Sep 2015
Tag: trauma
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.