Rué M, Jecko V, Dautheribes M, Vignes J-R
Neurochirurgie. 2013 Dec;59(6):221-3. doi: 10.1016/j.neuchi.2013.05.003.
Occipital condylar fractures (OCFs) are rare and difficult to diagnose. The routine use of computed tomography (CT) scan in traumatology has however now made their diagnosis easier, with an estimated frequency of 4 to 19% of craniospinal traumatized patients and 0.4 to 0.7% of all severe traumatized patients in emergencies. This paper describes a patient who was not diagnosed with OCF during his first hospitalization after a road accident. However, 15 days later a left sided hypoglossal nerve palsy occurred. In this case report, we underline that an examination of the cranial nerve is a quick and easy procedure to screen each head trauma patient for occipital foramen fractures. Also, careful attention must be paid to X-Rays, CT scans and magnetic resonance imaging of the craniocervical junction.
枕髁骨折（OCF）较为罕见且难以诊断。然而，创伤学中计算机断层扫描（CT）的常规使用如今已使枕髁骨折的诊断变得更容易，在颅脑脊髓创伤患者中其估计发生率为4%至19%，在所有急诊严重创伤患者中为0.4%至0.7%。本文描述了一名患者，在道路交通事故后的首次住院期间未被诊断出枕髁骨折。然而，15天后出现了左侧舌下神经麻痹。在本病例报告中，我们强调对颅神经进行检查是一种快速且简便的程序，可用于筛查每例头部创伤患者是否存在枕骨大孔骨折。此外，必须仔细关注颅颈交界区的X线、CT扫描和磁共振成像。
