Dens fracture and epidural hematoma
Presentation
Fall with head strike.
Patient Data
Age: 85 years
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.