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2011 ; 6
(4
): 573
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Atlanto-occipital dislocation: Case report and discussion
#MMPMID27307941
Asfaw T
; Chow B
; Frederiksen RA
Radiol Case Rep
2011[]; 6
(4
): 573
PMID27307941
show ga
Traumatic atlanto-occipital dislocation is an uncommon injury that frequently
results in either a fatal outcome or severe neurologic deficit. This diagnosis
must be considered for any patients who may have had cervical spine damage after
high trauma, even in the absence of neurologic signs, as there have been reports
of cases without neurologic impairment. In addition to radiographic examination,
including lateral cervical radiographs, supplemental imaging with CT or MRI may
be required to confirm diagnosis in equivocal cases, and to help in evaluation of
bone and nervous structures. Moreover, these modalities allow measurement of the
magnitude of dislocation and aid in classification of type of dislocation, which
helps guide management. A systematic approach to evaluating the cranio-cervical
relationship is critical to identifying atlanto-occipital dislocation. This case
report presents and discusses imaging findings that will assist in the diagnosis
of atlanto-occipital dislocation.