Dens fracture and epidural hematoma

Case contributed by Andrew Dixon

Presentation

Fall with head strike.

Patient Data

Age: 85 years
Gender: Female

Brain CT

ct

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

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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