Jefferson Fracture Resulting in Collet-Sicard Syndrome
Jefferson Fracture Resulting in Collet-Sicard Syndrome
复制标题
杰弗逊骨折导致科莱-西卡综合征
DOI：
10.1097/00007632-200002010-00023
复制
发表时间：
2000
期刊：
影响因子：
3
通讯作者：
T. Gerlinger
中科院分区：
文献类型：
--
作者：
B. Connolly;C. Turner;John Devine;T. Gerlinger
研究设计.病例报告和文献回顾。Objective.为了提高对Jefferson骨折可能导致的损伤的认识，提出可能的损伤机制，并简要回顾有关C1爆裂性骨折和Collet-Sicard综合征的相关事实。背景数据总结。据作者所知，这是第一例Jefferson骨折导致Collet-Sicard综合征的报告。这是第二个报告的情况下，颅神经麻痹所造成的杰斐逊骨折。方法.一名56岁的男子在一次翻车事故中C1爆裂骨折。在随后的几天里反复进行神经系统检查，发现左侧颅神经IX、X、XI和XII病变。结果两周的牵引，10周的光环背心，2周的颈领导致充分的骨折愈合和几乎完全解决病人的神经症状。结论虽然这是第一例由Jefferson骨折引起的Collet-Sicard综合征，但作者对文献的回顾表明，在一些C1爆裂性骨折患者中，颅神经损伤可能无法识别。在所有颈椎损伤的病例中，彻底的神经系统检查，包括颅神经检查的重要性怎么强调都不过分。
Study Design. A case report and review of the literature. Objective. To increase awareness of and add to the spectrum of injury that can result from Jefferson fractures, to suggest a possible mechanism of injury, and to give a brief review of pertinent facts regarding C1 burst fractures and the Collet-Sicard Syndrome. Summary of Background Data. To the author’s knowledge, this is the first reported case of a Jefferson fracture resulting in Collet-Sicard Syndrome. It represents only the second reported case of cranial nerve palsy caused by Jefferson fracture. Methods. A 56-year-old man sustained a C1 burst fracture in a rollover motor vehicle accident. Repeated neurologic examinations over the ensuing days revealed lesions of cranial nerves IX, X, XI, and XII on the left side. Results. Two weeks of traction, 10 weeks in a halo vest, and 2 weeks in a cervical collar resulted in adequate fracture healing and almost complete resolution of the patient’s neurologic symptoms. Conclusion. Although this is the first reported case of Collet-Sicard Syndrome caused by Jefferson fracture, the authors’ review of the literature suggests that cranial nerve injuries may go unrecognized in some patients with C1 burst fractures. The importance of a thorough neurologic examination, including examination of the cranial nerves, in all cases of cervical spine injury cannot be overemphasized.