Peg fracture

Case contributed by Jeremy Jones
Diagnosis almost certain

Presentation

The patient collapsed during a cardiac arrest. He regained a perfusing rhythm, but wasn't breathing on his own. A CT head was requested. An occipital injury was noted and the study extended to include C-spine.

Patient Data

Age: 65 years
Gender: Male
ct

Fracture through the odontoid peg..

Case Discussion

Reconstruction of the images revealed a type III odontoid fracture.

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