A case of Collet-Sicard syndrome associated with traumatic atlas fractures and congenital basilar invagination

H. P. Hsu; S. T. Chen; C. J. Chen; L. S. Ro

doi:10.1136/jnnp.2003.024083

A case of Collet-Sicard syndrome associated with traumatic atlas fractures and congenital basilar invagination

H. P. Hsu, S. T. Chen, C. J. Chen, L. S. Ro

Research output: Contribution to journal › Article › peer-review

20 Citations (Scopus)

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	https://doi.org/10.1136/jnnp.2003.024083
Publication status	Published - May 2004
Externally published	Yes

ASJC Scopus subject areas

Neuropsychology and Physiological Psychology
Neuroscience(all)
Psychiatry and Mental health

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title = "A case of Collet-Sicard syndrome associated with traumatic atlas fractures and congenital basilar invagination",

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.",

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AU - Chen, C. J.

AU - Ro, L. S.

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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.

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