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https://hdl.handle.net/2440/46587
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Type: | Journal article |
Title: | Bilateral occipital condyle fractures leading to retropharyngeal haematoma and acute respiratory distress |
Author: | Freeman, B. Behensky, H. |
Citation: | Injury Extra, 2005; 36(1):207-212 |
Publisher: | Elsevier Sci Ltd |
Issue Date: | 2005 |
ISSN: | 0020-1383 1879-0267 |
Statement of Responsibility: | Brian J. C. Freeman and Hannes Behensky |
Abstract: | Injuries to the occipito-cervical junction are rare and not easily diagnosed on conventional radiographs. The authors report such a case where the diagnosis was delayed. The patient developed a significant retrophyarngeal haematoma resulting in acute respiratory distress and required emergency endotracheal intubation. The patient remained intubated for five days and received a tapered dose of intravenous dexamethazone to reduce swelling in the proximity of the airway. At six weeks the patient had developed a left hypoglossal nerve palsy that persisted at 12 months. Occipital condyle fractures and the difficulties of diagnosis are discussed. The importance of measuring pre-vertebral soft tissue swelling on lateral radiographs is emphasized. Computed tomography of the C0–C2 region should be performed to identify base of skull and upper cervical fractures. |
Keywords: | Occipital condyle fracture Delayed diagnosis Respiratory compromise |
DOI: | 10.1016/j.injury.2004.05.026 |
Description (link): | http://www.elsevier.com/wps/find/journaldescription.cws_home/30428/description#description |
Published version: | http://dx.doi.org/10.1016/j.injury.2004.05.026 |
Appears in Collections: | Aurora harvest 6 Orthopaedics and Trauma publications |
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