Unexpected death after occipital condylar fracture.

Abstract:

:We present a rare fatal complication of an occipital condylar fracture. The patient was initially neurologically intact, but showed secondary clinical deterioration. Imaging revealed extensive extra-axial hemorrhage at the craniocervical junction and an acute obstructive hydrocephalus. MR imaging demonstrated a T2 hyperintens signal in both the lower brainstem and upper cervical spinal cord, likely caused by the extra-axial hemorrhage. As prognosis was estimated infaust, supportive treatment was discontinued and the patient died soon thereafter. This case report illustrates a rare, delayed complication and unexpected death in a patient having sustained an occipital condylar fracture.

journal_name

Acta Neurochir (Wien)

journal_title

Acta neurochirurgica

authors

Bulthuis VJ,Cornips EMJ,Dings J,van Santbrink H,Postma AA

doi

10.1007/s00701-017-3165-5

subject

Has Abstract

pub_date

2017-06-01 00:00:00

pages

1163-1166

issue

6

eissn

0001-6268

issn

0942-0940

pii

10.1007/s00701-017-3165-5

journal_volume

159

pub_type

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