The Centre for Spinal Studies and Surgery, Queens Medical Centre, Nottingham University Hospitals, Nottingham, UK.
Eur Spine J. 2021 Feb;30(2):381-384. doi: 10.1007/s00586-014-3360-5. Epub 2014 Jun 13.
Craniocervical pneumatisation of both occiput and upper cervical vertebrae is extremely rare. Although it was stated that hyperpneumatisation can lead to fracture, only few cases of such injuries have been reported. Generally, craniocervical fractures represent a small number of cervical spine injuries and they are usually caused by high-energy trauma and can be associated with lower cranial nerves palsy.
We present here a case of healthy man with mostly left sided pneumatisation of occiput and C1 who suffered from fractures of occipital condyle and posterior arch of C1 associated with permanent hypoglossal nerve injury. Both fractures were stable and he was treated conservatively with a rigid collar.
At follow-up, the patient reported no pain and no restriction in head movement. Total hypoglossal nerve palsy remained unchanged. Conservative treatment is a method of choice in such cases.
颅颈交界处枕骨和上颈椎的空气骨化极其罕见。尽管有研究表明过度空气骨化可能导致骨折，但此类损伤的病例报道很少。一般来说，颅颈骨折代表着一小部分颈椎损伤，通常由高能创伤引起，并可能伴有颅神经麻痹。
我们在此介绍一例健康男性，其枕骨和 C1 主要为左侧空气骨化，患有枕骨髁和 C1 后弓骨折，伴有舌下神经永久性损伤。两处骨折均稳定，采用硬性颈圈进行保守治疗。
随访时，患者报告无疼痛，头部活动无受限。舌下神经完全麻痹无变化。此类情况下，保守治疗是首选方法。
