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Dens fracture and epidural hematoma

Case contributed by Dr Andrew Dixon ◉

Diagnosis certain

Diagnosis certain

Presentation

Fall with head strike.

Patient Data

Age: 85

Gender: Female

From the case: Dens fracture and epidural hematoma

CT

Brain CT

Axial non-contrast

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.

From the case: Dens fracture and epidural hematoma

CT

CT Cervical Spine

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Sagittal non-contrast

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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