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Radiol Case Rep. 2015 Nov 06;6(4):573. doi: 10.2484/rcr.v6i4.573. eCollection 2011.

Atlanto-occipital dislocation: Case report and discussion.

Radiology case reports

Tehetena Asfaw, Bernard Chow, Ryan A Frederiksen

PMID: 27307941 PMCID: PMC4899932 DOI: 10.2484/rcr.v6i4.573

Abstract

Traumatic atlanto-occipital dislocation is an uncommon injury that frequently results in either a fatal outcome or severe neurologic deficit. This diagnosis must be considered for any patients who may have had cervical spine damage after high trauma, even in the absence of neurologic signs, as there have been reports of cases without neurologic impairment. In addition to radiographic examination, including lateral cervical radiographs, supplemental imaging with CT or MRI may be required to confirm diagnosis in equivocal cases, and to help in evaluation of bone and nervous structures. Moreover, these modalities allow measurement of the magnitude of dislocation and aid in classification of type of dislocation, which helps guide management. A systematic approach to evaluating the cranio-cervical relationship is critical to identifying atlanto-occipital dislocation. This case report presents and discusses imaging findings that will assist in the diagnosis of atlanto-occipital dislocation.

Keywords: AOD, atlanto-occipital dislocation; CT, computed tomography; MRI, magnetic resonance imaging

References

  1. AJR Am J Roentgenol. 1981 Jul;137(1):21-4 - PubMed
  2. Spine (Phila Pa 1976). 1996 Aug 1;21(15):1761-8 - PubMed
  3. J Neurosurg. 1980 Apr;52(4):541-6 - PubMed
  4. AJR Am J Roentgenol. 1994 Apr;162(4):887-92 - PubMed
  5. J Neurosurg. 1986 Dec;65(6):863-70 - PubMed
  6. Neurosurgery. 1979 Jan;4(1):12-7 - PubMed
  7. Radiology. 1958 Sep;71(3):350-6 - PubMed
  8. Eur Spine J. 2004 Mar;13(2):172-80 - PubMed
  9. Spine (Phila Pa 1976). 1986 Mar;11(2):174-6 - PubMed
  10. AJNR Am J Neuroradiol. 1987 Jan-Feb;8(1):19-26 - PubMed

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