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The Hangman's fracture which is a fracture of the C2 vertebral body or dens of the cervical spine upon which the skull base sits to allow the head to rotate, can also be associated with atlanto-occipital dislocation. Despite its eponym, the fracture is not usually associated with a hanging mechanism of injury.
The anterior clinoid process projects over the internal carotid artery, which supplies the majority of blood to the brain. Because of the "spear-like" shape of the ACP and the large size of this artery, it is possible (though rare) that as a complication of major head trauma, the ACP may puncture the vessel and cause intracranial hemorrhage. [4]
The head rests on the top part of the vertebral column, with the skull joining at C1 (the first cervical vertebra known as the atlas). The skeletal section of the head and neck forms the top part of the axial skeleton and is made up of the skull, hyoid bone, auditory ossicles, and cervical spine. The skull can be further subdivided into:
Lack of CSF pressure and volume can allow the brain to sag and descend through the foramen magnum (large opening) of the occipital bone, at the base of the skull. The lower portion of the brain is believed to stretch or impact one or more cranial nerve complexes, thereby causing a variety of sensory symptoms. Nerves that can be affected and ...
The base of skull, also known as the cranial base or the cranial floor, is the most inferior area of the skull. It is composed of the endocranium and the lower parts of the calvaria . Structure
The anterior cranial fossa is a depression in the floor of the cranial base which houses the projecting frontal lobes of the brain. It is formed by the orbital plates of the frontal, the cribriform plate of the ethmoid, and the small wings and front part of the body of the sphenoid; it is limited behind by the posterior borders of the small wings of the sphenoid and by the anterior margin of ...
Pneumocephalus is the presence of air or gas within the cranial cavity.It is usually associated with disruption of the skull: after head and facial trauma, tumors of the skull base, after neurosurgery or otorhinolaryngology, and rarely, spontaneously.
A basilar skull fracture is a break of a bone in the base of the skull. [1] Symptoms may include bruising behind the ears , bruising around the eyes , or blood behind the ear drum . [ 1 ] A cerebrospinal fluid (CSF) leak occurs in about 20% of cases and may result in fluid leaking from the nose or ear . [ 1 ]
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