Abstract:
:Occipital condylar fractures (OCF) are rare and have a high mortality rate. We report a patient with OCF who presented with acute hydrocephalus and died from diffuse vasospasm secondary to vertebral artery injury. A 45-year-old man fell 20 feet from a deer stand and landed on his head. CT showed a type III OCF continuing to the anterior rim of the foramen magnum on the left, with a bone fragment pushing into the medulla, causing hydrocephalus. The patient was stabilized, and a four-vessel arteriogram showed diffuse vasospasm with complete occlusion of the left vertebral artery at the level of the OCF. To our knowledge, this is the first documented case of the conjunction of OCF, hydrocephalus, and vasospasm.
journal_name
Neuroradiologyjournal_title
Neuroradiologyauthors
Menéndez JA,Başkaya MK,Day MA,Nanda Adoi
10.1007/s002340000441subject
Has Abstractpub_date
2001-03-01 00:00:00pages
246-8issue
3eissn
0028-3940issn
1432-1920journal_volume
43pub_type
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