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Journal of Korean Neurosurgical Society 1997;26(12): 1739-1742.
Fracture of the OccipitalvCondyle Associated with Lower Cranial Nerve Palsy.
Kwan Sung Lee, Seung Jin Choi, Dae Kon Kye, Choon Keun Park, Sang Won Lee, Joon Ki Kang
Department of Neurosurgery, College of Medicine, Catholic University, Seoul, Korea.
We describe the case of a 59-year-old man whose occipital condyle was fractured in a traffic accident, resulting in severe neck pain and blurred vision. Neurological examination revealed palsy of the right side sixth cranial and ipsilateral lower cranial nerve. In fracture of the occipital condyle, persistent neck pain and lower cranial nerve palsy may be common clinical features. Conventional plain radiography may often be inadequate for the detection and evaluation of this lesion, and high-resolution CT and coronal reconstruction is the diagnostic modality of choice. The patient was treated conservatively using a Philadelphia collar, and this led to excellent clinical improvement. To demonstrate this rare form of traumatic lesion in patients with sustained post-traumatic neck pain and lower cranial nerve palsy, the authors recommend CT of the craniocervical junction.
Key Words: High-resolution CT; Lower cranial nerve palsy; Occipital condyle; Fracture
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