Occipital condyle fracture

Case contributed by Dr Derek Smith

Presentation

Headache, confusion and neck pain after falling off a horse.

Patient Data

Age: 40 years
Gender: Female
CT
  • Avulsion fracure of the left occipital condyle, best seen on the coronal view. No other cervical spine or intracranial injury.

Case Discussion

This unusual pattern of pattern of injury can be seen in blunt high energy trauma to the head and neck, consistent with the given history.

With the position and degree of displacement on CT, there is concern the alar ligaments supporting the craniocervical junction have been disrupted (grade III injury).

Immobilization and further investigation with MRI was recommended.

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Case information

rID: 61165
Published: 2nd Dec 2019
Last edited: 3rd Dec 2019
System: Spine, Trauma
Inclusion in quiz mode: Included

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