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 journalArticle

19 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 languageEnglish
Pages (from-to)782-784
Number of pages3
JournalJournal of Neurology, Neurosurgery and Psychiatry
Volume75
Issue number5
DOIs
Publication statusPublished - May 2004
Externally publishedYes

ASJC Scopus subject areas

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

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