Dens fracture and epidural hematoma

Case contributed by Andrew Dixon
Diagnosis certain


Fall with head strike.

Patient Data

Age: 85 years
Gender: Female

Brain 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


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.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

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

 Thank you for updating your details.