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Indian Journal of Neurotrauma 2016; 13(02): 124-127
DOI: 10.1055/s-0036-1586738
Case Report
Thieme Medical and Scientific Publishers Private Ltd.

Delayed Presentation of Atlanto-Occipital Dislocation with Fracture of Adjoining Bone with Diagnostic Challenge: Report of Two Cases

Deepak K. Jha
1   Department of Neurosurgery, Institute of Human Behavior and Allied Sciences, New Delhi, India
,
Monali Chaturvedi
2   Department of Neuroradiology, Institute of Human Behavior and Allied Sciences, New Delhi, India
,
Mukul Jain
3   Department of Neuroanesthesia, Institute of Human Behavior and Allied Sciences, New Delhi, India
,
Arvind Arya
3   Department of Neuroanesthesia, Institute of Human Behavior and Allied Sciences, New Delhi, India
,
Suman Kushwaha
4   Department of Neurology, Institute of Human Behavior and Allied Sciences, New Delhi, India
› Author Affiliations
Further Information

Publication History

24 June 2016

15 July 2016

Publication Date:
10 August 2016 (online)

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Abstract

Atlanto-occipital dislocation with fracture (AODF) of adjoining bone is rarely reported and poses diagnostic challenge due to complex anatomy and inability of plain radiograph to diagnose it. Authors present two cases of AODF with fracture of adjoining bone with delayed presentations, including one patient with occipitalized C1. Clinical and radiological findings, causes of diagnostic delays, and surgical management are described along with a review of relevant literature.

Keywords

atlanto-occipital dislocation - cervicomedullary junction - transcondylar - far-lateral approach - traumatic dislocations

Note

Presented at the Annual Neurotrauma Conference at the All India Institute of Medical Science, New Delhi, India, August 2015.


 

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