- Department of Neurosurgery, Kagawa Rosai Hospital, Marugame City, Japan.
Masatoshi Yunoki, Department of Neurosurgery, Kagawa Rosai Hospital, Marugame City, Japan.
DOI:10.25259/SNI_1033_2022Copyright: © 2022 Surgical Neurology International This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
How to cite this article: Seiya Hayashi, Michiari Umakoshi, Masatoshi Yunoki, Koji Hirashita. Occipital condyle fracture caused by minor head trauma. 09-Dec-2022;13:575
How to cite this URL: Seiya Hayashi, Michiari Umakoshi, Masatoshi Yunoki, Koji Hirashita. Occipital condyle fracture caused by minor head trauma. 09-Dec-2022;13:575. Available from: https://surgicalneurologyint.com/?post_type=surgicalint_articles&p=12048
Background: Occipital condyle fractures (OCF) are commonly identified in patients suffering from severe craniocerebral trauma. Here, we present a 57-year-old male whose computed tomography (CT)-documented atlanto-occipital dislocation (AOD), due to just minor trauma was successfully managed with bracing alone.
Case Description: A 57-year-old male presented with the right upper neck pain following a motor vehicle accident. The screening cervical CT scan revealed a fracture of the right occipital condyle, while the subsequent dynamic X-rays showed no instability or AOD. The patient was treated with a hard cervical collar, and over the next 6 months, remained asymptomatic. The 6-month repeat craniocervical CT scan additionally confirmed spontaneous fusion at the fracture site.
Conclusion: Patients who have sustained even mild craniocervical trauma may develop AOD attributed to an OCF. It is critical to screen these patients early with CT and X-ray studies so they can be successfully managed with bracing alone, and avoid the need for surgery to address the delayed onset of instability.
Keywords: Computed tomography, Head trauma, Occipital condyle fracture
Occipital condyle fractures (OCF) are rare and most typically occur following severe craniocerebral trauma [
Following a motor vehicle accident, a 57-year-old male presented with the right upper neck pain, and a contusion to the forehead, but neurologically intact. Although the craniospinal CT revealed a fracture of the right occipital condyle, the dynamic cervical X-rays showed no AOD [
Early diagnosis of OCF essential
In patients suffering from severe craniocervical trauma, the incidence of OCF seen on CT is approximately 4.2–4.4% on CT scans.[
Classification of OCF
Anderson and Montesano[
Patients presenting with even mild craniocervical trauma should be evaluated for potential OCF utilizing both X-ray and CT studies. If diagnosed early, before the onset of AOD, most patient may be successfully managed with cervical collar immobilization alone, without the need for surgery.
Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent.
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Conflicts of interest
There are no conflicts of interest.
The views and opinions expressed in this article are those of the authors and do not necessarily reflect the official policy or position of the Journal or its management. The information contained in this article should not be considered to be medical advice; patients should consult their own physicians for advice as to their specific medical needs.
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