Presentation
History of hypertension with acute onset headache
Patient Data
There is a nondisplaced multisegmental fracture of the right occipital bone, extending up to the lateral border of foramen magnum bilaterally.
Nondisplaced fracture of the posterior arch of atlas noted on the right side. The atlanto-dental interspace appears normal.
Incidental bilateral ethmoidal, maxillary and ethmoidal mucosal changes are present. Left inferior turbinate hypertrophy is also noted.
Short arrows point towards the nondisplaced multisegmental fracture of the right occipital bone, extending up to the bilateral foramen magnum lateral borders.
Long arrows point towards the nondisplaced fracture of the right sided posterior arch of atlas - Type II isolated posterior arch fracture.
Special thanks: Dr Madan Mohan Babu
Case Discussion
The Gehweiler classification divides fractures of the first cervical vertebra into five types. This is the most widely accepted classification.
Description
- Type I fracture of the anterior arch
- Type II fracture of the posterior arch
- Type III combined fracture of both the anterior and the posterior arch (Jefferson fracture)
- Type IV fracture of massa lateralis
- Type V fracture of the transverse process
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