Occult Cranial Cervical Dislocation: A Case Report and Brief Literature Review
Joint Authors
Shatsky, Joshua B.
Alton, Timothy B.
Bellabarba, Carlo
Bransford, Richard J.
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-06-05
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Study Design.
Retrospective case report and review.
Objective.
Cranial cervical dislocation (CCD) is commonly a devastating injury.
Delay in diagnosis has been found to lead to worse outcomes.
Our purpose is to describe a rare case of occult cranial cervical dislocation (CCD) and use it to highlight key clinical and radiographic findings to ensure expedited diagnosis and proper management avoiding delays and subsequent neurologic deterioration.
Method.
Case report with literature review.
Results.
We describe a unique case of occult cranial cervical dislocation where initial imaging of the cervical spine failed to illustrate displacement of the occipital-cervical (O-C1) articulation or C1-C2 articulation.
Careful evaluation of subtle radiographic clues suggested a more severe injury than initial review.
Additional imaging was obtained due to these subtle clues confirming true cranial cervical dislocation allowing subsequent treatment with no neurologic sequelae.
Conclusion.
A high index of suspicion of CCD may prevent injury in select patients who present without gross cord compromise.
Careful consideration of associated fractures, soft tissue injuries, and mechanism of injury are essential clues to the correct diagnosis and management of injuries to the craniocervical junction (CCJ).
American Psychological Association (APA)
Shatsky, Joshua B.& Alton, Timothy B.& Bellabarba, Carlo& Bransford, Richard J.. 2016. Occult Cranial Cervical Dislocation: A Case Report and Brief Literature Review. Case Reports in Orthopedics،Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1101995
Modern Language Association (MLA)
Shatsky, Joshua B.…[et al.]. Occult Cranial Cervical Dislocation: A Case Report and Brief Literature Review. Case Reports in Orthopedics No. 2016 (2016), pp.1-6.
https://search.emarefa.net/detail/BIM-1101995
American Medical Association (AMA)
Shatsky, Joshua B.& Alton, Timothy B.& Bellabarba, Carlo& Bransford, Richard J.. Occult Cranial Cervical Dislocation: A Case Report and Brief Literature Review. Case Reports in Orthopedics. 2016. Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1101995
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1101995