Dens fracture and epidural hematoma

Case contributed by Andrew Dixon
Diagnosis certain

Presentation

Fall with head strike.

Patient Data

Age: 85 years
Gender: Female

Brain CT

ct
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Info

Brain CT shows a small volume right tentorial subdural hematoma and on the lower slices there is circumferential epidural hematoma compressing the cord at C1. 

CT Cervical Spine

ct
This study is a stack
Sagittal
non-contrast
This study is a stack
Sagittal
bone window
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Info

Subsequently performed CT of the cervical spine reveals a non-displaced type 2 dens fracture with large associated circumferential epidural haeamtoma compressing the cord at the C1 and C2 level.  

Case Discussion

Non-displaced type 2 dens fracture complicated with epidural hematoma with upper cervical cord compression.

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