Education: Images in Anesthesiology  |   October 2016
Occipital Condyle Fracture
Author Notes
  • From the Department of Anesthesiology, SUNY Upstate Medical University, Syracuse, New York.
  • Address correspondence to Dr. Passi:
Article Information
Education / Images in Anesthesiology / Central and Peripheral Nervous Systems / Trauma / Burn Care
Education: Images in Anesthesiology   |   October 2016
Occipital Condyle Fracture
Anesthesiology 10 2016, Vol.125, 806. doi:10.1097/ALN.0000000000001145
Anesthesiology 10 2016, Vol.125, 806. doi:10.1097/ALN.0000000000001145
A 19-YR-OLD man was brought to the hospital after a motor vehicle accident. Computed tomography scan of the cervical spine revealed a minimally displaced fracture of the right occipital condyle, as seen in the figure. The patient was brought to the operating room for bilateral mandible fracture surgery with a Miami J Collar (Ossur Americas, Inc., USA) in place. The patient was conscious, and no deficits were noticed on complete neurologic examination.
Occipital condyles, situated on either side of the foramen magnum, are occasionally fractured with cervical spine fracture. Injury is caused by blunt trauma with significant craniocervical torque or axial loading.1  An isolated occipital condyle fracture is very rare. The condyles are perforated by the hypoglossal nerves, and the jugular foramen lies laterally. The foramen contains the jugular vein and the cranial nerves IX, X, and XI, which can be injured in 33 to 63% of the cases.1–3 
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