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Updated: Oct 25, 2025

Endovascular Perforation Model for Subarachnoid Hemorrhage Combined with Magnetic Resonance Imaging MRI
Published on: December 16, 2021
Pharyngeal perforation: A rare complication of occipitocervical injury
Alberto Vandenbulcke1, Giulia Cossu1, Juan Barges Coll2
1Department of Neurosurgery, Lausanne University Hospital, Lausanne, Switzerland.
Background:
Atlantoaxial dislocation is a rare injury following high-energy trauma. We report an undescribed complication of atlantoaxial dislocation.
Case Description:
A 75-year-old man presented with atlantoaxial dislocation and Jefferson C1 fracture after a high-energy trauma. Occipitoaxial stabilizations were performed the day after. A nasopharyngeal fistula was identified at day 5 causing a persistent epistaxis.
Conclusion:
Nasopharyngeal fistulization of C1 bony fragment is a rare complication of complex occipitocervical injury. Combined treatment with ENT surgeon should be considered.
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