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ISSN 2225-4676 (Electronic)

2014, Number 2

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Rev Cubana Neurol Neurocir 2014; 4 (2)

Collet–Sicard syndrome as presentation form of atlas and occipital condyles fracture

Olazábal AI, Pereira JK

Language: Spanish
References: 23
Page: 179-183
PDF size: 345.81 Kb.


ABSTRACT

Introduction: Collet– Sicard syndrome is a combined unilateral involvement and lower cranial nerves, caused by damage in cranial base.
Clinical Case: Male patient, 27 years old with history of suffering a traffic accident. Upon arrival at the hospital he referred high cervical pain, muffled voice and difficult to swallowing. Physical examination detects lower cranial nerve paresis. Radiography, and cervical spine and skull–spinal region CT was performed. The diagnosis was fracture of the occipital condyles and type II fracture of the atlas. After that he was treated with placement of halo vest. The follow up consultation at the end of the first month of treatment showed cervical pain relief without neurological deterioration.
Conclusions: The lower cranial nerve involvement can be the clinical presentation of traumatic injuries of the skull spinal region. Its early recognition is related with better prognosis of these patients.


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