Falavigna Asdrubal, da Silva Fabrício Molon, Hennemann Alessandra Souto
Neurologia da Universidade de Caxias do Sul, Caxias do Sul, RS, Brasil.
Arq Neuropsiquiatr. 2002 Dec;60(4):1038-41. doi: 10.1590/s0004-282x2002000600030. Epub 2003 Jan 15.
Occipital condyle fracture(OCF) is rarely seen and can be missed during medical evaluation due to the variety of clinical presentations and the difficulty to be visualized radiographically. This fracture can be associated with cranial nerves injuries (31%), being the hipoglossal nerve the most frequently involved (67%). We report a 58 years old female patient who presented with OCF, injury of lower cranial nerves and Jefferson's fracture. The patient was treated with cervical traction for six weeks followed by halo immobilization for three months. There was bone consolidation recovery of the nervous injury after this period. This report emphazises the importance of investigating the skull-cervical transition in all patients with cervical trauma. Although Jefferson's fracture is rarely associated with OCF, it should be remembered and treated appropriately when diagnosed.
枕髁骨折（OCF）较为少见，由于临床表现多样且X线难以显影，在医学评估过程中可能会被漏诊。这种骨折可能与颅神经损伤相关（31%），其中舌下神经受累最为常见（67%）。我们报告一例58岁女性患者，患有枕髁骨折、下颅神经损伤和Jefferson骨折。患者接受了六周的颈椎牵引治疗，随后进行了三个月的头环固定。在此期间后，骨折愈合，神经损伤恢复。本报告强调了对所有颈椎创伤患者进行颅颈交界区检查的重要性。尽管Jefferson骨折很少与枕髁骨折相关，但确诊时应予以重视并进行适当治疗。
