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Traumatic longitudinal clival fracture in a child--case report

Hajime Ono1, Masashi Uchida, Yuichiro Tanaka

  • 1Department of Neurosurgery, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki, Kanagawa, Japan. gen21@marianna-u.ac.jp

Neurologia Medico-Chirurgica
|October 27, 2011
PubMed

Insights

Pediatric longitudinal clival fractures, often fatal, result from occipital impacts. This case highlights a rare survival in a child with this severe head trauma, emphasizing impact location differences between pediatric and adult injuries.

Area of Science:

  • Neuroscience
  • Trauma Surgery
  • Pediatric Neurosurgery

Background:

  • Clival fractures are rare but severe injuries often associated with high mortality.
  • These fractures typically result from significant head trauma, potentially damaging critical neurovascular structures.

Observation:

  • A 7-year-old boy sustained a longitudinal clival fracture after a traffic accident, presenting with transient unconsciousness.
  • Despite the severity of the clival fracture, the patient survived without immediate neurological deficits.

Findings:

  • Longitudinal clival fractures in pediatric cases, including this one, are consistently linked to occipital impact.
  • In contrast, adult longitudinal clival fractures predominantly result from frontal or axial impacts.

Implications:

  • The findings suggest a distinct injury mechanism for pediatric clival fractures compared to adults.
  • Understanding these differences is crucial for accurate diagnosis, prognosis, and management of pediatric head trauma.

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