Ulus Travma Acil Cerrahi Derg. 2014; 20(3): 224-226 | DOI: 10.5505/tjtes.2014.22747

Occipital condyle fractures: A case report

Cem Dinç¹, Mehmet Erhan Türkoðlu², Cengiz Tuncer¹, Ömer Aykanat¹, Derya Özçelik³, Gamze Özkan^3
1Department Of Brain And Neurosurgery, Düzce University, Düzce, Turkey
²Department Of Brain And Neurosurgery, Dýskapý Training And Research Hospital, Ankara, Turkey
³Department Of Plastical And Reconstrüction Surgery, Düzce University, Düzce, Turkey

Occipital condyle fractures are rare, and conservative treatment is sufficient for many cases. Surgical treatment may be required if the condyle fracture is accompanied by atlantooccipital dislocation. Unfortunately, condyle fracture generally cannot be diagnosed with X-ray in the emergency department. Recently, computed tomography scans have been used more frequently, and enable easier diagnosis of these types of fractures. In this report, we describe a patient who admitted to our emergency department after a major trauma. She complained of neck pain, and maxillofacial trauma was more evident. Her cervical X-rays were normal, but cervical computed tomography revealed unilateral occipital condyle fracture.

Keywords: Atlantooccipital dislocation, conservative treatment; occipital condyle fracture; surgery.

---

Oksipital kondil kýrýklarý: Bir olgu sunumu

Cem Dinç¹, Mehmet Erhan Türkoðlu², Cengiz Tuncer¹, Ömer Aykanat¹, Derya Özçelik³, Gamze Özkan^3
1Düzce Üniversitesi Týp Fakültesi Beyin Ve Sinir Cerrahisi Ana Bilim Dalý, Düzce
²Ankara Dýþkapý Eðitim Ve Araþtýrma Hastanesi Beyin Ve Sinir Cerrahisi Kliniði, Ankara
³Düzce Üniversitesi Týp Fakültesi Plastik Ve Rekonstrüktif Cerrahi Ana Bilim Dalý, Düzce

Oksipital kondil kýrýklarý nadir olup, konservatif tedavi genellikle yeterlidir. Nadiren atlantooksipital dislokasyonun eþlik ettiði olgularda cerrahi tedavi gerekebilir. Acil servise travma nedeniyle baþvuran olgularda direkt grafilerde sýklýkla taný konulamayan kondil kýrýklarýna, son yýllarda bilgisayarlý tomografinin sýk olarak kullanýlmasý ile artan oranda taný konulabilmektedir. Bu çalýþmada, acil servisimize travma nedeniyle kabul edilen hastanýn, maksillofasiyal travmasý ön planda olup, boyun aðrýsýndan þikayet etmekteydi. Servikal direkt grafileri normal olan hastanýn, servikal bilgisayarlý tomografisinde tek taraflý oksipital kondil kýrýðý saptandý.

Anahtar Kelimeler: Cerrahi, konservatif tedavi; oksipital kondil kýrýðý; oksipitoservikal dislokasyon.

---

CITE