Type III occipital condylar fracture presenting with hydrocephalus, vertebral artery injury and vasospasm: case report.

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

Neuroradiology

journal_title

Neuroradiology

authors

Menéndez JA,Başkaya MK,Day MA,Nanda A

doi

10.1007/s002340000441

subject

Has Abstract

pub_date

2001-03-01 00:00:00

pages

246-8

issue

3

eissn

0028-3940

issn

1432-1920

journal_volume

43

pub_type

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