Qureishi A, Khan T, Johnston M, Bommireddy R, Klezl Z
Derby Hospitals NHS Foundation Trust, UK.
Ann R Coll Surg Engl. 2014 Nov;96(8):e3-5. doi: 10.1308/003588414X13946184902325.
Occipitocervical injuries are rare, accounting for 15% of all fatal spinal trauma. In patients who survive the initial incident, early detection and appropriate management is vital to avoid significant neurological disability and mortality. We present the case of a patient with neck trauma who was initially cleared of spinal injuries in the emergency department but who later developed acute hearing loss. We describe how the investigation of the hearing loss led to the detection of this devastating injury and report its successful management. Patients with persistent neck pain following trauma, particularly in the presence of degenerative spinal disease, should have cervical spine computed tomography to exclude occipitocervical injuries and other occult injuries.
枕颈损伤较为罕见，占所有致命性脊柱创伤的15%。在初始事件中幸存的患者中，早期检测和适当处理对于避免严重的神经功能残疾和死亡至关重要。我们报告一例颈部创伤患者的病例，该患者最初在急诊科被排除脊柱损伤，但后来出现急性听力丧失。我们描述了对听力丧失的调查如何导致发现这种毁灭性损伤并报告其成功处理情况。创伤后持续颈部疼痛的患者，尤其是存在脊柱退行性疾病时，应进行颈椎计算机断层扫描以排除枕颈损伤和其他隐匿性损伤。
