Life-threatening retropharyngeal fluid collection after whiplash-type injury of the cervical spine
| Autor: | Ercan Karaarslan, Cagri Damar, Merve Yazol, Erdoğan Süleyman, Mustafa Ozbayrak |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Subluxation
medicine.medical_specialty medicine.diagnostic_test business.industry Soft tissue 030208 emergency & critical care medicine Magnetic resonance imaging Emergency department medicine.disease Spinal cord Intensive care unit law.invention 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure law Orthopedic surgery medicine Whiplash Surgery Orthopedics and Sports Medicine Neurology (clinical) Radiology business 030217 neurology & neurosurgery |
| Zdroj: | The Spine Journal. 16:e241-e243 |
| ISSN: | 1529-9430 |
| Popis: | A 39-year-old man was brought to the emergency department after a car accident. Computed tomography scans of the brain and spine did not reveal any fracture of the craniocervical junction except some thickening of the retropharyngealprevertebral soft tissues, mild increase of the basion-dens interval with basion-axis interval (Fig. 1), and atlantooccipital subluxation (Fig. 2). Also we observed thin linear hyperdensities compatible with subdural hemorrhagia extending through anterior neighborhood of the brainstem and posterior neighborhood of the proximal cervical spinal cord (Fig. 3). The patient developed progressive dyspnea and hoarseness while being monitored in intensive care unit and a magnetic resonance imaging (MRI) scan of the cervical spine was obtained. A retropharyngeal fluid collection extending through the naso-oro-hypopharynx levels was found which also extended into the deep fascial planes of the neck. |
| Databáze: | OpenAIRE |
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