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A case of Collet-Sicard syndrome associated with traumatic atlas fractures and congenital basilar invagination

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A case of Collet-Sicard syndrome associated

with traumatic atlas fractures and congenital

basilar invagination

陳啟仁

Hsu HP;Chen ST;Chen CJ;Ro LS;

摘要

Abstract

An 18 year old man with congenital basilar invagination developed multiple lower cranial nerve (CN) palsies including CN IX to XII after a traffic accident. Computed tomography of his skull base revealed a two part atlas Jefferson fracture. Normally,lower cranial nerves (CN IX-XII) pass through a space between the styloid process and the atlas transverse process. Atlas burst fractures rarely cause neurological deficits because of a greater

transverse and sagittal diameter of the spinal canal atthe atlas, and a tendency of the lateral masses to slide away from the cord after injury. However, when associated with a rare condition-congenital basilar invagination-atlas fractures can compromise the space and make CN IX-XII more vulnerable to compression injury. This report discusses the correlation between the anatomical lesions and clinical features of this patient

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