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Case of the Week 439 
What is the most likely diagnosis?
- 57 year-old in motor vehicle collision
Open Mouth View of Cervical Spine
- Maxillary sinusitis
- Rheumatoid arthritis
- Hangman fracture
- Jefferson fracture
- Fractured tooth
Additional Image - Axial CT scan of cervical spine
Additional Images
Axial CT scan of cervical spine
Answer:
.
4. Jefferson Fracture
.
.
More (Click Discussion Tab)
Jefferson Fracture
General Considerations
- Burst fracture of the ring of C1
- Typically caused by an axial-loading force on the occiput of the head
- Classically, it involves fractures of the anterior arch of C1 on both the right and left sides and the posterior arch of C1 on both the right and left sides (4 fractures)
- But fracture variants may include two or three-part fractures
- There is usually no associated neurologic deficit as the ring of C1 widens when it fractures limiting cord compression
MORE . . .
.
This Week
57 year-old in motor vehicle collision |
Presented as a series of cards, this podcast asks some of the most common causes of neuroimaging findings and diseases making it ideal for a quick review. Can be used as either an audio only or audio/video podcast.; Complements Video Flashcard Podcasts 15, 21,25, 38, 42, 46 and 47. |
Some of the fundamentals of interpreting chest images |
The top diagnostic imaging diagnoses that all medical students should recognize according to the Alliance of Medical Student Educators in Radiology |
Recognizing normal and key abnormal intestinal gas patterns, free air and abdominal calcifications |
Recognizing the parameters that define a good chest x-ray; avoiding common pitfalls |
How to recognize the most common arthritides |
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LearningRadiology
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| LearningRadiology.com |
is an award-winning educational website aimed primarily at medical students and radiology residents-in-training, containing lectures, handouts, images, Cases of the Week, archives of cases, quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, GU cardiac, bone and neuroradiology. |
