Abstract
An 18 year old man with congenital basilar invagination developed multiple lower cranial nerve (CN) palsies including CN IX to XII after a traffic accident. Computed tomography of his skull base revealed a two part atlas Jefferson fracture. Normally, lower cranial nerves (CN IX-XII) pass through a space between the styloid process and the atlas transverse process. Atlas burst fractures rarely cause neurological deficits because of a greater transverse and sagittal diameter of the spinal canal at the atlas, and a tendency of the lateral masses to slide away from the cord after injury. However, when associated with a rare condition-congenital basilar invagination-atlas fractures can compromise the space and make CN IX-XII more vulnerable to compression injury. This report discusses the correlation between the anatomical lesions and clinical features of this patient.
| Original language | English |
|---|---|
| Pages (from-to) | 782-784 |
| Number of pages | 3 |
| Journal | Journal of Neurology, Neurosurgery and Psychiatry |
| Volume | 75 |
| Issue number | 5 |
| DOIs | |
| Publication status | Published - May 2004 |
| Externally published | Yes |
Fingerprint
ASJC Scopus subject areas
- Neuropsychology and Physiological Psychology
- Neuroscience(all)
- Psychiatry and Mental health
Cite this
A case of Collet-Sicard syndrome associated with traumatic atlas fractures and congenital basilar invagination. / Hsu, H. P.; Chen, S. T.; Chen, C. J.; Ro, L. S.
In: Journal of Neurology, Neurosurgery and Psychiatry, Vol. 75, No. 5, 05.2004, p. 782-784.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - A case of Collet-Sicard syndrome associated with traumatic atlas fractures and congenital basilar invagination
AU - Hsu, H. P.
AU - Chen, S. T.
AU - Chen, C. J.
AU - Ro, L. S.
PY - 2004/5
Y1 - 2004/5
N2 - An 18 year old man with congenital basilar invagination developed multiple lower cranial nerve (CN) palsies including CN IX to XII after a traffic accident. Computed tomography of his skull base revealed a two part atlas Jefferson fracture. Normally, lower cranial nerves (CN IX-XII) pass through a space between the styloid process and the atlas transverse process. Atlas burst fractures rarely cause neurological deficits because of a greater transverse and sagittal diameter of the spinal canal at the atlas, and a tendency of the lateral masses to slide away from the cord after injury. However, when associated with a rare condition-congenital basilar invagination-atlas fractures can compromise the space and make CN IX-XII more vulnerable to compression injury. This report discusses the correlation between the anatomical lesions and clinical features of this patient.
AB - An 18 year old man with congenital basilar invagination developed multiple lower cranial nerve (CN) palsies including CN IX to XII after a traffic accident. Computed tomography of his skull base revealed a two part atlas Jefferson fracture. Normally, lower cranial nerves (CN IX-XII) pass through a space between the styloid process and the atlas transverse process. Atlas burst fractures rarely cause neurological deficits because of a greater transverse and sagittal diameter of the spinal canal at the atlas, and a tendency of the lateral masses to slide away from the cord after injury. However, when associated with a rare condition-congenital basilar invagination-atlas fractures can compromise the space and make CN IX-XII more vulnerable to compression injury. This report discusses the correlation between the anatomical lesions and clinical features of this patient.
UR - http://www.scopus.com/inward/record.url?scp=1942517809&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=1942517809&partnerID=8YFLogxK
U2 - 10.1136/jnnp.2003.024083
DO - 10.1136/jnnp.2003.024083
M3 - Article
C2 - 15090582
AN - SCOPUS:1942517809
VL - 75
SP - 782
EP - 784
JO - Journal of Neurology, Neurosurgery and Psychiatry
JF - Journal of Neurology, Neurosurgery and Psychiatry
SN - 0022-3050
IS - 5
ER -