scholarly journals Surgical Treatment for Occipital Condyle Fracture, C1 Dislocation, and Cerebellar Contusion with Hemorrhage after Blunt Head Trauma

2016 ◽  
Vol 2016 ◽  
pp. 1-6
Author(s):  
Shigeo Ueda ◽  
Nobuhiro Sasaki ◽  
Miyuki Fukuda ◽  
Minoru Hoshimaru
Keyword(s):  
Surgical Treatment ◽  
Cranial Nerve ◽  
Craniovertebral Junction ◽  
Occipital Bone ◽  
Occipital Condyle ◽  
Lower Cranial Nerve ◽  
Cerebellar Hemorrhage ◽  
Blunt Head Trauma ◽  
Magnetic Resonance Imaging Mri ◽  
Condyle Fracture

Occipital condyle fractures (OCFs) have been treated as rare traumatic injuries, but the number of reported OCFs has gradually increased because of the popularization of computed tomography (CT) and magnetic resonance imaging (MRI). The patient in this report presented with OCFs and C1 dislocation, along with traumatic cerebellar hemorrhage, which led to craniovertebral junction instability. This case was also an extremely rare clinical condition in which the patient presented with traumatic lower cranial nerve palsy secondary to OCFs. When the patient was transferred to our hospital, the occipital bone remained defective extensively due to surgical treatment of cerebellar hemorrhage. For this reason, concurrent cranioplasty was performed with resin in order to fix the occipital bone plate strongly. The resin-made occipital bone was used to secure a titanium plate and screws enabled us to perform posterior fusion of the craniovertebral junction. Although the patient wore a halo vest for 3 months after surgery, lower cranial nerve symptoms, including not only neck pain but also paralysis of the throat and larynx, improved postoperatively. No complications were detected during outpatient follow-up, which continued for 5 years postoperatively.

Posttraumatic Delayed Jugular Foramen Syndrome in a Toddler

2021 ◽  
Author(s):  
Cristina Toledo-Gotor ◽  
Nerea Gorría ◽  
Miren Oscoz ◽  
Katia Llano ◽  
Pablo la Fuente Rodríguez-de ◽  
...  
Keyword(s):  
Physical Examination ◽  
Cranial Nerves ◽  
Jugular Foramen ◽  
Exceptional Case ◽  
Cerebellar Tonsil ◽  
Occipital Condyle ◽  
Lower Cranial Nerve ◽  
Cranial Nerve Palsies ◽  
Blunt Head Trauma ◽  
Condyle Fracture

Abstract Background Multiple lower cranial nerve palsies have been attributed to occipital condyle fractures in older children and adults, but no clinical details of other possible mechanisms have been described in infants. Case Report A 33-month-old boy suffered blunt head trauma. A bilateral skull base fracture was diagnosed, with favorable outcome during the first days after trauma. On the sixth day, the patient began to refuse drinking and developed hoarseness. Physical examination and additional investigations revealed paralysis of left VII, IX, X, and XI cranial nerves. A follow-up computed tomography (CT) scan disclosed a left petrous bone fracture involving the lateral margin of the jugular foramen, and a cranial magnetic resonance imaging (MRI) study showed a left cerebellar tonsil contusion. He improved after methylprednisolone was started. Three months later, he was asymptomatic, although mild weakness and atrophy of the left sternocleidomastoid and trapezius muscles remained 1 year later. Discussion A posttraumatic “jugular foramen syndrome” is rare in children, but it has been reported shortly after occipital condyle fracture, affecting mainly IX, X, and XI cranial nerves. In this toddler, delayed symptoms appeared with unilateral involvement. While an occipital fracture was ruled out, neuroimaging findings suggest the hypothesis of a focal contusion as a consequence of a coup-contrecoup injury. Conclusion This exceptional case highlights the importance of gathering physical examination, anatomical correlation, and neuroimaging to yield a diagnosis.

Two-year-old girl with cervicomedullary junction stenosis and an unknown type of skeletal dysplasia

2008 ◽  
Vol 2 (3) ◽  
pp. 200-202
Author(s):  
Samuel Henry Cheshier ◽  
Mohammad Yashar Sorena Kalani ◽  
Arjun Pendakaur ◽  
Dominique Higgins ◽  
David Kahn ◽  
...  
Keyword(s):  
Skeletal Dysplasia ◽  
Cranial Nerve ◽  
Cranial Nerve Palsy ◽  
Nerve Palsy ◽  
Foramen Magnum ◽  
Occipital Bone ◽  
Lower Cranial Nerve ◽  
Unknown Type ◽  
Cervicomedullary Junction ◽  
Lower Cranial Nerve Palsy

The authors present a novel case of skeletal dysplasia in a 2.8-year-old girl. The patient presented with progressive lower cranial nerve palsy and myelopathy due to constriction at the cervicomedullary junction caused by overgrowth of the occipital bone of the foramen magnum and the C-1. She also had prominent bone overgrowth of the superior orbital ridges, resulting in excessive stretching of periorbital skin and an inability to fully close her eyes.

scholarly journals Occipital Bone Cyst Causing Lower Cranial Nerve Palsies

1974 ◽  
Vol 1 (3) ◽  
pp. 206-209 ◽  
Author(s):  
M. Banna ◽  
W. G. Bradley ◽  
R. M. Kalbag ◽  
B. E. Tomlinson
Keyword(s):  
Cranial Nerve ◽  
Bone Cyst ◽  
Occipital Bone ◽  
Unicameral Bone Cyst ◽  
Bone Cysts ◽  
Lower Cranial Nerve ◽  
First Report ◽  
Cranial Nerve Palsies ◽  
Tubular Bones

SummaryA 20-year-old girl presented with neck and occipital pain for six weeks, which was found to be due to a unicameral bone cyst of the left occipital condylar region.Although there have been very few reports of simple bone cysts in bones than the long tubular bones, it appears that the present case is probably the first report of such a lesion occurring in the skull.

scholarly journals Occipital Condyle Fracture: A Case Report of a Typically Stable Fracture That Required Surgical Treatment

2018 ◽  
Vol 2018 ◽  
pp. 1-3 ◽  
Author(s):  
Takeshi Suzuki ◽  
Satoshi Maki ◽  
Masaaki Aramomi ◽  
Tomonori Yamauchi ◽  
Manato Horii ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Surgical Treatment ◽  
Facet Joint ◽  
Atlantoaxial Instability ◽  
Occipital Condyle ◽  
Asian Woman ◽  
Atlantoaxial Joint ◽  
Occipitocervical Fusion ◽  
Occipital Condyle Fracture ◽  
Condyle Fracture

An occipital condyle fracture (OCF) is a relatively rare trauma that is now increasingly diagnosed because of the wide availability of computed tomography. For nondisplaced OCFs, conservative treatment is generally recommended, and there is no previous report of a nondisplaced OCF requiring surgery. We report a patient who had a nondisplaced OCF with craniocervical misalignment (a condyle-C1 interval > 2.0 mm) and C1-C2 translation treated with a halo vest and occipitocervical fusion surgery. An 87-year-old Asian woman fell from a 4-meter height and hit her head. She was transferred to our emergency room. Computed tomography revealed a nondisplaced impaction OCF with a 2.5 mm occipital condyle-C1 interval and a 5 mm C1-C2 translation. The fracture pattern was considered stable. However, since craniocervical misalignment and C1-C2 translation were present, the patient was placed in a halo device, and we reduced the occipitoatlantoaxial joint, adjusting the halo ring position preoperatively. Confirming reduction of the atlantooccipital facet joint and the atlantoaxial joint by computed tomography, we performed an occipitocervical fusion. This is the first report of a nondisplaced OCF with craniocervical misalignment and C1-C2 translation that required surgical treatment. Clinicians should be aware of craniocervical misalignment and atlantoaxial instability even in Tuli type 1 OCFs.

High cervical pain and impairment of skull mobility as the only symptoms of an occipital condyle fracture

1994 ◽  
Vol 81 (1) ◽  
pp. 137-138 ◽  
Author(s):  
Jan Stroobants ◽  
Luc Fidlers ◽  
Jean-Louis Storms ◽  
Robert Klaes ◽  
Guido Dua ◽  
...  
Keyword(s):  
Traffic Accident ◽  
Occipital Condyle ◽  
Lower Cranial Nerve ◽  
Content Type ◽  
X Ray ◽  
Accident Victim ◽  
The Right ◽  
Condyle Fracture ◽  
High Cervical ◽  
Occipital Condyle Fractures

✓ Occipital condyle fractures are rarely reported in survivors of trauma. Most cases involve patients with a major head trauma, lower cranial nerve palsy, and/or suspected lesions demonstrated on plain x-ray films of the skull or cervical spine. The authors describe a traffic-accident victim in whom an atlanto-occipital joint lesion was suspected based only on mobility investigation of the skull. Axial high-resolution computerized tomography of the atlanto-occipital joint showed a fracture of the right occipital condyle.

Surgical treatment of mandibular condyle fracture with bicortical screws: case report

RSBO ◽  
2016 ◽  
Vol 13 (1) ◽  
pp. 50
Author(s):  
Guilherme Dos Santos Trento ◽  
Paola Cotait de Lucas Cors ◽  
Naylin Danyelle de Oliveira ◽  
Leandro Eduardo Klüppel ◽  
Delson João da Costa ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Mandibular Condyle ◽  
Condyle Fracture

scholarly journals Resection of a Lower Clival Meningioma via Posterolateral Approach: Two-Dimensional Operative Video

2020 ◽  
Author(s):  
Pinar E. Ocak ◽  
Selcuk Yilmazlar
Keyword(s):  
Cranial Nerve ◽  
Cranial Nerves ◽  
Posterolateral Approach ◽  
Left Vertebral Artery ◽  
Posterior Arch ◽  
Upper Cervical Spine ◽  
Two Dimensional ◽  
Lower Cranial Nerve ◽  
Complex Anatomy ◽  
Microsurgical Resection

Abstract Objectives This study aimed to demonstrate resection of a craniovertebral junction (CVJ) meningioma via the posterolateral approach. Design The study is designed with a two-dimensional operative video. Setting This study is conducted at department of neurosurgery in a university hospital. Participants A 50-year-old woman who presented with lower cranial nerve findings due to a left-sided lower clival meningioma (Fig. 1). Main Outcome Measures Microsurgical resection of the meningioma and preservation of the neurovascular structures. Results The patient was placed in park-bench position and a left-sided retrosigmoid suboccipital craniotomy, followed by C1 hemilaminectomy and unroofing the lip of the foramen magnum, was performed. The dural incision extended from the suboccipital region down to the posterior arch of C2 (Fig. 2). The arachnoid overlying the tumor was incised, revealing the course of the cranial nerve (CN) XI on the dorsolateral aspect of the tumor. The left vertebral artery (VA) was encased by the tumor which was originating from the dura below the jugular foramen. The mass was resected in a piecemeal fashion eventually. At the end of the procedure, all relevant cranial nerves and adjacent vascular structures were intact. Postoperative magnetic resonance imaging (MRI) confirmed total resection and the patient was discharged home on postoperative day 3 safely. Conclusions Microsurgical resection of the lesions of the CVJ are challenging as this transition zone between the cranium and upper cervical spine has a complex anatomy. Since adequate exposure of the extradural and intradural segments of the VA can be obtained by the posterolateral approach, this approach can be preferred in cases with tumors anterior to the VA or when the artery is encased by the tumor.The link to the video can be found at: https://youtu.be/d3u5Qrc-zlM.

Occipital condyle fracture—A rare but severe injury in cranial fracture patients

2021 ◽  
Author(s):  
Henri Lassila ◽  
Tero Puolakkainen ◽  
Tuomas Brinck ◽  
Michael Wilson ◽  
Johanna Snäll
Keyword(s):  
Severe Injury ◽  
Occipital Condyle ◽  
Occipital Condyle Fracture ◽  
Condyle Fracture
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