Artigo
Occipital condyle fracture associated with Jefferson's fracture and injury of lower cranial nerves: case report
Fratura de côndilo occipital associada a fratura de Jefferson e lesão dos nervos cranianos caudais: relato de caso
Fecha
2002-12-01Registro en:
Arquivos de Neuro-psiquiatria. São Paulo, SP: Assoc Arquivos de Neuro- Psiquiatria, v. 60, n. 4, p. 1038-1041, 2002.
0004-282X
S0004-282X2002000600030.pdf
S0004-282X2002000600030
10.1590/S0004-282X2002000600030
WOS:000180010700030
Autor
Falavigna, Asdrubal [UNIFESP]
Silva, Fabricio Molon da
Hennemann, Alessandra Souto
Institución
Resumen
Occipital condyle fracture (OCF) is rarely seen and can be missed during medical evaluation due to the variety of clinical presentations and the difficulty to be visualized radiographically. This fracture can be associated with cranial nerves injuries (31%), being the hipoglossal nerve the most frequently involved (67%). We report a 58 years old female patient who presented with OCE, injury of lower cranial nerves and Jefferson's fracture. the patient was treated with cervical traction for six weeks followed by halo immobilization for three months. There was bone consolidation recovery of the nervous injury after this period. This report emphazises the importance of investigating the skull-cervical transition in all patients with cervical trauma. Although Jefferson's fracture is rarely associated with OCF, it should be remembered and treated appropriately when diagnosed.