Presentation
Fell off a ladder and bumped his head.
Patient Data
Age: 65 years
Gender: Male
From the case:
Fall from height
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Left frontoparietal scalp hematoma.
Transversely oriented fractures through the base of C2 vertebra, involving the neural foramina but not the dens.
Mild leukoaraiosis.
Case Discussion
A case of head trauma with cervical spine fractures. The patient had severe osteoporosis, seen here in the superior cervical vertebrae and clearly evident on the chest-abdomen-pelvis scan. Osteoporosis and a rigid spine (e.g. DISH, ankylosing spondylitis) predispose to spinal fractures in cases of relatively mild trauma to the spine.