Circumferential fracture of the skull base causing craniocervical dislocation

2002 ◽  
Vol 97 (1) ◽  
pp. 118-122 ◽  
Author(s):  
Ganesh Rao ◽  
Adam S. Arthur ◽  
Ronald I. Apfelbaum

✓ Fractures of the craniocervical junction are common in victims of high-speed motor vehicle accidents; indeed, injury to this area is often fatal. The authors present the unusual case of a young woman who sustained a circumferential fracture of the craniocervical junction. Despite significant trauma to this area, she suffered remarkably minor neurological impairment and made an excellent recovery. Her injuries, treatment, and outcome, as well as a review of the literature with regard to injuries at the craniocervical junction, are discussed.

1984 ◽  
Vol 60 (4) ◽  
pp. 700-706 ◽  
Author(s):  
Stephen A. Hill ◽  
Carole A. Miller ◽  
Edward J. Kosnik ◽  
William E. Hunt

✓ This review of pediatric neck injuries includes patients admitted to Children's Hospital of Columbus, Ohio, during the period 1969 to 1979. The 122 patients with neck injuries constituted 1.4% of the total neurosurgical admissions during this time. Forty-eight patients had cervical strains; 74 had involvement of the spinal column; and 27 had neurological deficits. The injuries reached their peak incidence during the summer months, with motor-vehicle accidents accounting for 31%, diving injuries and falls from a height 20% each, football injuries 8%, other sports 11%, and miscellaneous 10%. There is a clear division of patients into a group aged 8 years or less with exclusively upper cervical injuries, and an older group with pancervical injuries. In the younger children, the injuries involved soft tissue (subluxation was seen more frequently than fracture), and tended to occur through subchondral growth plates, with a more reliable union than similar bone injuries. In the older children, the pattern and etiology of injury are the same as in adults. The entire cervical axis is at risk, and there is a tendency to fracture bone rather than cartilaginous structures.


2014 ◽  
Vol 2014 ◽  
pp. 1-10 ◽  
Author(s):  
Vasileios I. Sakellariou ◽  
Nikolaos K. Badilas ◽  
Nikolaos A. Stavropoulos ◽  
George Mazis ◽  
Helias K. Kotoulas ◽  
...  

The incidence of brachial plexus injuries is rapidly growing due to the increasing number of high-speed motor-vehicle accidents. These are devastating injuries leading to significant functional impairment of the patients. The purpose of this review paper is to present the available options for conservative and operative treatment and discuss the correct timing of intervention. Reported outcomes of current management and future prospects are also analysed.


2005 ◽  
Vol 23 (1) ◽  
pp. 83-86 ◽  
Author(s):  
Roland Ladurner ◽  
Lars M. Qvick ◽  
Felix Hohenbleicher ◽  
Klaus K. Hallfeldt ◽  
Wolf Mutschler ◽  
...  

Author(s):  
Kurosh Darvish ◽  
Mehdi Shafieian ◽  
Vasily Romanov ◽  
Vittorio Rotella ◽  
Michael D. Salvatore ◽  
...  

A high speed impact system was developed to study the stability of stent grafts in thoracic porcine models in vitro. The experiments were guided by a finite element model of the test setup to identify the conditions that increase the risk of instability of the stent graft. The models showed that at anterior inclination of 45° and average deceleration of 40 G, which represented a frontal crash, the stent graft can move up to 1 mm. The results of this study may be helpful in developing future grafts to withstand shocks experienced in motor vehicle accidents.


1990 ◽  
Vol 3 (03) ◽  
pp. 106-109
Author(s):  
N. E. Lambrechts

SummaryIn the dog, the pelvis is frequently injured following motor vehicle accidents (1). Injuries to the lower urinary and intestinal tracts may accompany pelvic fractures in man (2, 3, 4, 5) and the dog (1, 6, 7). This paper describes an unsual case of bladder retroflexion and herniation through a tear, into the rectum of a dog, following traumatic fracture of the pelvis. The successful management and repair is outlined and a biomechanical sequence leading to the abnormal bladder position is proposed.An unusual case of bladder retroflexion and herniation through a tear, into the rectum of a dog, following traumatic fracture of the pelvis is described. Repair was accomplished by manipulation of the bladder into its normal position through a coeliotomy incision and suturing of the rectal tear after prolapsing the rectum through the anus. The proposed biomechanical sequence leading to this injury is tearing by the inwardly rotated, fractured left hemipelvis as well as or alternatively, shearing forces along lines of excessive tension.


1993 ◽  
Vol 78 (6) ◽  
pp. 966-969 ◽  
Author(s):  
Shushovan Chakrabortty ◽  
Shizuo Oi ◽  
Yasuhisa Yoshida ◽  
Hiroshi Yamada ◽  
Michio Yamaguchi ◽  
...  

✓ Tail-like caudal appendages may be associated with spinal dysraphism, particularly with spinal lipomas or lipomyelomeningoceles. An unusual case is presented of a patient with a myelomeningocele and a thick filum terminale with tethered spinal cord, which presented with the external appearance of a human tail. A review of the literature reveals that human tails may be associated with dysraphic conditions. Extensive neuroradiological examinations should be performed for all such cases of apparent tails.


2008 ◽  
Author(s):  
Yoshiharu Kim ◽  
Yutaka Matsuoka ◽  
Ulrich Schnyder ◽  
Sara Freedman ◽  
Robert Ursano

Sign in / Sign up

Export Citation Format

Share Document