n SA Journal of Radiology - Trauma imaging of the cranio-cervical junction : diagnosis : quiz case




A 5-year-old boy presented to A&E with quadriparesis after a motor vehicle accident. Initial plain radiographs were normal. The CT images of the cranio-cervical junction (CCJ) obtained on admission showed a large acute prepontine retroclival extradural haematoma (REH). There is posterior displacement of the tectorial membrane and compression of the lower pons and medulla. No fractures of the clivus or the upper cervical vertebrae is noted. The cranio-cervical junction bony elements retain their normal alignment with preservation of the powers ratio.


Article metrics loading...

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error