The Experts below are selected from a list of 3012 Experts worldwide ranked by ideXlab platform
Olav Røise - One of the best experts on this subject based on the ideXlab platform.
-
Occipital Condyle fracture and lower cranial nerve palsy after blunt head trauma – a literature review and case report
Journal of Trauma Management & Outcomes, 2015Co-Authors: Nils Christian Utheim, Roger Josefsen, P Nakstad, Torfinn Solgaard, Olav RøiseAbstract:Background Lower cranial nerve (IX-XII) palsy is a rare condition with numerous causes, usually non-traumatic. In the literature it has been described only a few times after trauma, mostly accompanied by a fracture of the Occipital Condyle. Although these types of fractures have rarely been reported one could suspect they have been under-diagnosed. During the past decade they have been seen more frequently, most probably due to increased use of CT- and MRI-scanning. The purpose of this review is to increase the awareness of complications following injuries in the craniocervical region. Methods We based this article on a retrospective review of the medical record of a 24-year old woman admitted to our trauma center after being involved in a car accident and a review of the literature on Occipital Condyle fractures associated with lower cranial nerve palsy. Results The multitraumatized patient had suffered a dislocated Occipital Condyle fracture. Months later she was diagnosed with palsy to cranial nerve IX-XII. Literature review shows that Occipital Condyle fractures are rare as isolated injuries and are in many cases accompanied by further injuries to the cervical spine and soft tissue structures, in many cases ending with severe disability. The exact mechanism leading to these injuries cannot always be explained. Conclusion Recognition of soft tissue injuries in patients with blunt head trauma is important. CT findings involving the craniocervical junction in these patients advocates further investigations including a thorough neurological examination and liberal use of MRI.
-
Occipital Condyle fracture and lower cranial nerve palsy after blunt head trauma a literature review and case report
Journal of Trauma Management & Outcomes, 2015Co-Authors: Nils Christian Utheim, Roger Josefsen, Olav Røise, P Nakstad, Torfinn SolgaardAbstract:Lower cranial nerve (IX-XII) palsy is a rare condition with numerous causes, usually non-traumatic. In the literature it has been described only a few times after trauma, mostly accompanied by a fracture of the Occipital Condyle. Although these types of fractures have rarely been reported one could suspect they have been under-diagnosed. During the past decade they have been seen more frequently, most probably due to increased use of CT- and MRI-scanning. The purpose of this review is to increase the awareness of complications following injuries in the craniocervical region. We based this article on a retrospective review of the medical record of a 24-year old woman admitted to our trauma center after being involved in a car accident and a review of the literature on Occipital Condyle fractures associated with lower cranial nerve palsy. The multitraumatized patient had suffered a dislocated Occipital Condyle fracture. Months later she was diagnosed with palsy to cranial nerve IX-XII. Literature review shows that Occipital Condyle fractures are rare as isolated injuries and are in many cases accompanied by further injuries to the cervical spine and soft tissue structures, in many cases ending with severe disability. The exact mechanism leading to these injuries cannot always be explained. Recognition of soft tissue injuries in patients with blunt head trauma is important. CT findings involving the craniocervical junction in these patients advocates further investigations including a thorough neurological examination and liberal use of MRI.
-
Collet-Sicard-syndrome with spinal epidural hematoma due to Occipital Condyle fracture – a case report.
Scandinavian Journal of Trauma Resuscitation and Emergency Medicine, 2009Co-Authors: Nils Christian Utheim, Roger Josefsen, Per H. Nakstad, Olav RøiseAbstract:Occipital Condyle fractures (OCF) are rarely reported in literature and it is unclear whether these fractures are rare or under-diagnosed. Occipital Condyle fractures are associated with high-energy blunt trauma with significant cranial-cervical torque or axial loading.
Marc Van Hoye - One of the best experts on this subject based on the ideXlab platform.
-
high cervical pain and impairment of skull mobility as the only symptoms of an Occipital Condyle fracture case report
Journal of Neurosurgery, 1994Co-Authors: Jan Stroobants, Luc Fidlers, Robert Klaes, J L Storms, G Dua, Marc Van HoyeAbstract:✓ Occipital Condyle fractures are rarely reported in survivors of trauma. Most cases involve patients with a major head trauma, lower cranial nerve palsy, and/or suspected lesions demonstrated on plain x-ray films of the skull or cervical spine. The authors describe a traffic-accident victim in whom an atlanto-Occipital joint lesion was suspected based only on mobility investigation of the skull. Axial high-resolution computerized tomography of the atlanto-Occipital joint showed a fracture of the right Occipital Condyle.
-
Occipital Condyle FRACTURE MUST BE CONSIDERED IN THE PEDIATRIC POPULATION
The Journal of Trauma: Injury Infection and Critical Care, 1994Co-Authors: Jan Stroobants, Patrick Seynaeve, Luc Fidlers, Robert Klaes, Kari Brabants, Marc Van HoyeAbstract:To our knowledge, no case of Occipital Condyle fracture after minor head trauma in the pediatric population has been published. We report the case of a 12-year-old girl with a Jefferson's fracture detected on x-ray films. Axial high resolution computed tomography and coronal reconstruction images de
Selcuk Palaoglu - One of the best experts on this subject based on the ideXlab platform.
-
traumatic Occipital Condyle fractures
Neurosurgical Review, 2000Co-Authors: Bayram Cirak, Gokhan Akpinar, Selcuk PalaogluAbstract:Trauma to the brain or calvaria may cause some cranial nerve damage. This may be transitory or permanent. Occipital Condyle fracture (OCF) is a rarely encountered pathology not easily diagnosed by routine clinical and radiological evaluation and one of the causes of lower cranial nerve disability. Frequently, the hypoglossal nerve is involved. Here we present two cases of OCF caused by motor vehicle accidents. Both of the patients complained of dysphagia and voice disturbance. After detailed neurologic and radiologic evaluation, they were diagnosed with OCF. They were both treated conservatively. OCF as a cause of lower cranial nerve damage is rarely reported. Since it is hard to diagnose OCF by routine cranial and cervical evaluation, detailed radiological study in suspected cases is a must. Since one of our patients was admitted 6 years after the trauma, this article is also noteworthy as a report on radiological changes of the OCF.
Carsten Englert - One of the best experts on this subject based on the ideXlab platform.
-
Occipital Condyle fractures prospective follow up of 31 cases within 5 years at a level 1 trauma centre
European Spine Journal, 2012Co-Authors: Franz Mueller, Bernd Fuechtmeier, Bernd Kinner, Michael Rosskopf, Carsten Neumann, Michael Nerlich, Carsten EnglertAbstract:Purpose Prospective investigation of incidence and outcome of Occipital Condyle fractures (OCF) in a level 1 trauma centre.
Bruce M. Frankel - One of the best experts on this subject based on the ideXlab platform.
-
Occipital Condyle to cervical spine fixation in the pediatric population.
Journal of Neurosurgery: Pediatrics, 2014Co-Authors: Libby Kosnik-infinger, Steven S. Glazier, Bruce M. FrankelAbstract:Fixation at the craniovertebral junction (CVJ) is necessary in a variety of pediatric clinical scenarios. Traditionally an Occipital bone to cervical fusion is preformed, which requires a large amount of hardware to be placed on the occiput of a child. If a patient has previously undergone a posterior fossa decompression or requires a decompression at the time of the fusion procedure, it can be difficult to anchor a plate to the Occipital bone. The authors propose a technique that can be used when faced with this difficult challenge by using the Occipital Condyle as a point of fixation for the construct. Adult cadaveric and a limited number of case studies have been published using Occipital Condyle (C-0) fixation. This work was adapted for the pediatric population. Between 2009 and 2012, 4 children underwent Occipital Condyle to axial or subaxial spine fixation. One patient had previously undergone posterior fossa surgery for tumor resection, and 1 required decompression at the time of operation. Two pat...
-
posterior occipitocervical c0 3 fusion using polyaxial Occipital Condyle to cervical spine screw and rod fixation a radiographic and cadaveric analysis
Journal of Neurosurgery, 2010Co-Authors: Bruce M. Frankel, Michael Hanley, Alex Vandergrift, Timothy Monroe, Steven Morgan, Zoran RumboldtAbstract:Numerous conditions affect the occipitocervical junction requiring treatment with occipitocervical fixation. In this paper the authors present their technique of craniocervical fixation achieved with the cephalad extension of posterior C1–3 polyaxial screw and rods to polyaxial screws placed in the Occipital Condyles. They retrospectively analyzed Occipital Condyle morphology obtained from CT analyses of 40 patients with normal cervical spines, evaluated Occipital Condyle screw placement feasibility in 4 cadavers, and provided a case report of a 70-year-old woman with rheumatoid arthritis, basilar invagination, and atlantoaxial instability who was treated with this novel technique. Based on radiographic analysis of Occipital Condyle anatomy, they concluded that on average a 3.5-mm-diameter × 20- to 30-mm-long screw can be safely placed at an angle of 20–33° from the sagittal plane. Overall, measuring the condylar heights (mean [± SD] 10.8 ± 1.5 mm, range 8.1–15.0 mm), widths (mean 11.1 ± 1.4 mm, range 8.5...
