Atlanto-occipital dissociation with vertebral artery transection


Severe case of atlanto-occipital dissociation with both anterior displacement and superior distraction of the occipital condyles relative to the cervical spine.

This patient deceased shortly after these images were obtained and went onto have a nuclear medicine brain death study, which confirmed brain death.

This case illustrates the use of a cross-table lateral cervical spine radiograph in the setting of severe trauma.

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