A Rare Occipital Condyle Fracture in a Patient with a Minor Head Injury

枕骨髁骨折是一個少見但卻可能致命的疾病，通常它是發生在嚴重頭部外傷的病人身上。自從電腦斷層掃描的普及，使得早期的診斷變得容易一些。對於大多數穩定型的枕骨髁骨折病人，使用硬式的頸圈固定便足以產生堅固的骨融合。延遲診斷的病人，骨折的枕骨髁碎片可能產生位移而造成一些神經症狀的惡化。這裡我們提出一位以單獨枕骨髁骨折表現之輕度頭部外傷病患，我們要強調的是，即使在輕度頭部外傷的病患，如果有持續頸部疼痛症狀，對枕骨髁骨折抱著高度懷疑仍然是必要的。

關鍵字

外固定；輕度頭部外傷；枕骨髁骨折

並列摘要

Occipital condyle fracture (OCF) is an uncommon but potentially fatal disease entity. It is most commonly identified in patients suffering from severe craniocerebral trauma. The advent of computed tomography has made early detection possible. Traditional treatment using a hard neck collar is sufficient to produce solid fusion in most OCF patients. Delayed diagnosis, however, may result in neurologic deterioration due to potential displacement of fractured condylar fragments. Here we report a case of isolated, stable OCF in a patient with a minor head injury. A high level of clinical awareness of this rare disease entity is imperative for the management of traumatized patients, especially for those who have minor head injuries but persistent neck pain.

並列關鍵字

external immobilization ； minor head injury ； occipital condyle fracture

國際替代計量

A Rare Occipital Condyle Fracture in a Patient with a Minor Head Injury

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