Occipital condyle fracture (OCF) is a rare traumatic lesion. On account of a greater awareness and widespread use of computed tomographic (CT) scanning, OCF is being reported more frequently. OCFs can easily be missed because of their highly variable and usually nonspecific clinical features. However, long-term morbidity associated with pain and limited movements, serious neurological deficits, or even death may result from under-diagnosis or under-treatment of OCFs OCFs are traumatic, skull-based lesions, rather frequently, but not necessarily, associated with severe head, brain, and cervical spine trauma resulting from high-speed deceleration insults. They are unusual clinical injuries because of the strategic anatomic location of the occipital condyles within the craniocervical junction (CCJ). We report the case of a left occipital condyle fracture, with right hypoglossal nerve palsy.
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