孤立性斜坡横断骨折且无神经功能缺损：病例报告及文献综述
Isolated Transverse Clivus Fracture without Neurodeficit: Case Report and Review of Literature.
作者信息
Akar Ömer, Yaldiz Can, Özdemir Nail, Yaman Onur, Dalbayrak Sedat
机构信息
Department of Neurosurgery, Necip Fazıl State Hospital, Kahramanmaras, Turkey.
Departmant of Neurosurgery, Sakarya University Training and Research Hospital, Sakarya, Turkey.
出版信息
Pol J Radiol. 2015 Mar 19;80:151-4. doi: 10.12659/PJR.893027. eCollection 2015.
BACKGROUND
Clivus is a bony surface in the posterior cranial fossa, serving as the support of the brainstem and thus neighboring important structures because of its location. Skull base fractures that cannot be shown by conventional radiography can be clearly imaged by high-resolution bone window computed tomography.
CASE REPORT
A 44 years-old male referred to the emergency department because of a traffic accident in the car. His only complaint was a severe neckache. His X-ray examination showed no pathology. The computed tomographic examination showed no parenchymal pathology, but a isolated transverse fracture in the clivus.
CONCLUSIONS
The computed tomographic examination showed isolated transverse fracture in the clivus our case presented in this paper is the first case of transverse clivus fracture without additional cranial bone fracture and neurologic deficit in the literature.
背景
斜坡是颅后窝的一个骨面，由于其位置原因，它作为脑干的支撑结构，毗邻重要结构。传统放射摄影无法显示的颅底骨折，通过高分辨率骨窗计算机断层扫描可以清晰成像。
病例报告
一名44岁男性因在车内发生交通事故被送往急诊科。他唯一的主诉是严重的颈部疼痛。他的X线检查未发现病变。计算机断层扫描检查未发现实质病变，但在斜坡处有一处孤立的横行骨折。
结论
计算机断层扫描检查显示斜坡处有孤立的横行骨折。本文报道的病例是文献中首例无额外颅骨骨折和神经功能缺损的斜坡横行骨折病例。
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