Occipital neck injury
This kind of injury is very rare clinically, and only 8 cases were reported in the literature before the world before 1981. There were few survivors following occipital (atlanto) joint injury. Because most of these patients died immediately at the scene, a few patients died within a few days, and most of the survivors were of the lucky (fractured) type. The treatment is mainly light weight (1 to 1.5 kg) bone traction, the purpose is to maintain its position, and warn everyone to be careful: this is a severe cervical spine injury. Commonly associated nerve injuries include brain injury, brainstem injury, or high cervical spinal cord injury. The aforementioned nerve damage is often accompanied by loss of consciousness and spontaneous breathing disappearance, requiring permanent artificial respiration. Often associated with skull base fractures or upper cervical spine fractures. It is difficult to make a diagnosis with conventional X-rays. When epidural and suboccipital hematomas are found, the existence of such injuries should be considered. MRI can confirm the diagnosis.
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