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Traumatic basal subarachnoid haemorrhage

R B Dymock

    The Medical Journal of Australia
    |August 13, 1977
    PubMed
    Summary
    This summary is machine-generated.

    A blow to the neck caused traumatic basal subarachnoid hemorrhage and a fractured mandible. Characteristic findings included atlanto-occipital joint diastasis and cervical spine subluxation without cerebral circulation abnormalities.

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    Area of Science:

    • Traumatology
    • Neurology
    • Orthopedic Surgery

    Background:

    • Neck trauma can lead to complex injuries affecting the head and spine.
    • Subarachnoid hemorrhage is a serious condition often associated with vascular events or trauma.
    • Mandibular fractures require prompt diagnosis and management.

    Observation:

    • A case report details a patient with a fractured mandible and basal subarachnoid hemorrhage after neck trauma.
    • The patient presented with diastasis of the atlanto-occipital joint and right-sided subluxation of the first cervical vertebra.
    • Cerebral angiography revealed no abnormalities in cerebral circulation.

    Findings:

    • Traumatic basal subarachnoid hemorrhage can occur secondary to neck trauma.
    • Atlanto-occipital joint diastasis and cervical subluxation are key radiological findings in this injury pattern.

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  • The absence of cerebral vascular abnormalities suggests a non-aneurysmal cause for the hemorrhage.

    • Implications:

    • Highlights the importance of considering cervical spine injuries in patients with head trauma and neck impact.
    • Emphasizes the need for thorough radiological evaluation of the craniocervical junction following significant neck trauma.
    • Suggests that neck trauma can precipitate subarachnoid hemorrhage through mechanisms other than direct intracranial vascular injury.