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Collet-Sicard syndrome after minor head trauma
T Hashimoto1, O Watanabe, M Takase
1Department of Neurosurgery, Chiba Rosai Hospital, Japan.
Neurosurgery
|September 1, 1988
Summary
Occipital condyle fractures are rare but can cause serious neurological deficits. This case highlights Collet-Sicard syndrome resulting from an occipital condyle fracture, successfully treated conservatively.
Area of Science:
- Neurology
- Neurosurgery
- Traumatology
Background:
- Occipital condyle fractures are uncommon injuries.
- These fractures often accompany severe head and cervical spine trauma.
- Associated neurological deficits can be significant.
Observation:
- A 71-year-old male patient presented with unilateral cranial nerve palsies.
- The affected cranial nerves were the 9th, 10th, 11th, and 12th, consistent with Collet-Sicard syndrome.
- Computed tomography confirmed an occipital condyle fracture as the cause.
Findings:
- The patient's Collet-Sicard syndrome was directly attributed to the occipital condyle fracture.
- Conservative management was initiated for the fracture.
- The patient experienced a favorable clinical recovery.
Implications:
- This case underscores the importance of recognizing occipital condyle fractures in patients with cranial nerve deficits.
- Conservative treatment can be effective for certain occipital condyle fractures.
- Early diagnosis via imaging is crucial for appropriate management and patient outcomes.