Pathological dens fracture

Case contributed by Dr Henry Knipe

Presentation

Fall from bed.

Patient Data

Age: 80 years
Gender: Male
CT

Type 2 dens fracture, with the fracture line appearing widened anteriorly with C1/2 subluxation. Extensive sclerotic skeletal lesions throughout the skeleton. Multilevel degenerative change. 

Case Discussion

In an elderly male the extensive sclerotic foci are almost certainly prostate cancer, of which this patient had a history of. 

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Case information

rID: 48279
Case created: 28th Sep 2016
Last edited: 20th Apr 2017
Inclusion in quiz mode: Included

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