Management of a traumatic avulsion fracture of the occipital condyle in polytrauma patient: a case report

Avulsion fracture of the occipital condyle are rare lesion at craniovertebral junction. It is often related to high-energy traumatic injuries and show diverse clinical presentations. Neurologic deficit instabilities may justify surgical treatment. However, integrity neurovascular structures undervalued in current literatures. In this case report, we described a 26-year-old female patient with avulsion following traffic accident. On initial presentation, her Glasgow Coma Scale was 8. She presented compound comminuted depressed, on left side forehead skull base extending into clivus condyle. Her showed injury displacement deep base. computed tomography angiography, displaced compressed sigmoid sinus resulting its obstruction. While she recovering consciousness during stay hospital, lower cranial nerves dysfunctions corresponding Collet-Sicard syndrome. Due high risk vascular injury, conservatively treated for fracture. 4 months postdischarge follow-up, nerve symptoms practically recovered, signs fusion without further displacement. Current literatures focus neurologic stability decisions. it also important evaluate assess manipulation as result fatal outcome. This shows, an unstable can be favorable