Sudden demise after occipital condylar fracture.
Acta Neurochir (Wien). 2017 Jun;159(6):1163-1166
Authors: Bulthuis VJ, Cornips EMJ, Dings J, van Santbrink H, Postma AA
We current a uncommon deadly complication of an occipital condylar fracture. The affected person was initially neurologically intact, however confirmed secondary medical deterioration. Imaging revealed intensive extra-axial hemorrhage on the craniocervical junction and an acute obstructive hydrocephalus. MR imaging demonstrated a T2 hyperintens sign in each the decrease brainstem and higher cervical spinal wire, seemingly brought on by the extra-axial hemorrhage. As prognosis was estimated infaust, supportive remedy was discontinued and the affected person died quickly thereafter. This case report illustrates a uncommon, delayed complication and surprising demise in a affected person having sustained an occipital condylar fracture.
PMID: 28432520 [PubMed – indexed for MEDLINE]