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Service d'aide à la décision clinique

Volume 59, n° 6
pages 221-223 (décembre 2013)
Doi : 10.1016/j.neuchi.2013.05.003
Received : 15 October 2012 ;  accepted : 25 May 2013
Delayed hypoglossal nerve palsy following unnoticed occipital condyle fracture
Paralysie secondaire du nerf hypoglosse après fracture du condyle occipital passée inaperçue

Fig. 1

Fig. 1 : 

Photograph of patient, left tongue deviation.

Photographie du patient, langue déviée à gauche.

Fig. 2

Fig. 2 : 

Computed tomography (from left to right, coronal, axial and sagittal) showing left occipital condyle fracture.

Coupes scannographiques en fenêtre osseuse montrant la fracture déplacée du condyle occipital gauche en coupes coronale, axiale et sagittale de gauche à droite (la flèche montre la fracture).

Fig. 3

Fig. 3 : 

Anderson and Montesano classification [1] and type IV [4]. From left to right, top: Type I: right comminuted non-displaced condylar fracture. Type II: skull base fracture that extends through the right occipital condyle. Bottom: type III: right avulsion fracture mediated through tension in the alar ligaments. Type IV: bilateral type I OCF. →: right occipital condyle.

Classification d’Anderson et Montesano [1]. De gauche à droite, en haut : type I: fracture écrasement, comminutive du condyle ; Type II: fracture basilaire étendue au condyle. De gauche à droite, en bas : type III: avulsion du condyle ; Type IV : fracture type I. bilatérale. →: condyle occipital. Le ligament alaire s’étend du condyle à C2.

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