{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,6,1]],"date-time":"2024-06-01T14:35:07Z","timestamp":1717252507545},"reference-count":21,"publisher":"FapUNIFESP (SciELO)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq. Neuro-Psiquiatr."],"published-print":{"date-parts":[[2002,12]]},"abstract":"<jats:p>A fratura de c\u00f4ndilo occipital (FCO) \u00e9 patologia que pode passar despercebida \u00e0 avalia\u00e7\u00e3o m\u00e9dica, n\u00e3o s\u00f3 por sua infrequ\u00eancia (1%) como pela variedade de diagn\u00f3stico cl\u00ednico e dificuldade na visualiza\u00e7\u00e3o dessa \u00e1rea ao exame radiol\u00f3gico de rotina. Essa fratura pode vir associada a les\u00f5es de nervos cranianos (31%), sendo o hipoglosso o mais comumente envolvido (67%). \u00c9 rara sua associa\u00e7\u00e3o com fratura de Jefferson. Relatamos o caso de uma paciente de 58 anos, que desenvolveu FCO, les\u00e3o de nervos cranianos caudais e fratura de Jefferson ap\u00f3s uma queda. O tratamento preconizado foi tra\u00e7\u00e3o cervical por seis semanas seguida pelo uso de halo-colete por tr\u00eas meses. Houve consolida\u00e7\u00e3o \u00f3ssea e regress\u00e3o da les\u00e3o nervosa. O objetivo deste relato \u00e9 alertar para que, uma vez diagnosticada a FCO, est\u00e1 indicada investiga\u00e7\u00e3o radiol\u00f3gica da transi\u00e7\u00e3o cr\u00e2nio-cervical pela possibilidade da presen\u00e7a de les\u00f5es simult\u00e2neas nervosas, de nervos cranianos e \u00f3sseas, como por exemplo a fratura de Jefferson. Apesar de suas associa\u00e7\u00f5es serem raras, devem ter seu diagn\u00f3stico conhecido para poder ser manejadas adequadamente.<\/jats:p>","DOI":"10.1590\/s0004-282x2002000600030","type":"journal-article","created":{"date-parts":[[2005,4,15]],"date-time":"2005-04-15T10:33:23Z","timestamp":1113561203000},"page":"1038-1041","source":"Crossref","is-referenced-by-count":1,"title":["Fratura de c\u00f4ndilo occipital associada a fratura de Jefferson e les\u00e3o dos nervos cranianos caudais: relato de caso"],"prefix":"10.1590","volume":"60","author":[{"given":"Asdrubal","family":"Falavigna","sequence":"first","affiliation":[{"name":"Universidade de Caxias do Sul, Brasil; Universidade Federal de S\u00e3o Paulo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabr\u00edcio Molon da","family":"Silva","sequence":"additional","affiliation":[{"name":"Universidade de Caxias do Sul, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessandra Souto","family":"Hennemann","sequence":"additional","affiliation":[{"name":"Universidade de Caxias do Sul, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"key":"ref1","first-page":"469","article-title":"Surgical observations","volume":"4","author":"Bell C","year":"1817","journal-title":"J Middelsex Hosp"},{"key":"ref2","first-page":"933","article-title":"Luxations fraktur in atlanto occitpital gelenke","volume":"37","author":"Kissinger P","year":"1900","journal-title":"Zentrabl Chir"},{"key":"ref3","first-page":"507","article-title":"The forgotten condyle: the appearence, morphology, and classification of occipital condyle fractures","volume":"17","author":"Noble E","year":"1996","journal-title":"Am J Neuroradiol"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1097\/00005373-200002000-00031","article-title":"Basal fracture of the skull and lower (IX, X, XI, XII) cranial nerves palsy: four case reports including two fracture of the occipital condyle- a literature review","volume":"48","author":"Legros B","year":"2000","journal-title":"J Trauma","ISSN":"http:\/\/id.crossref.org\/issn\/0022-5282","issn-type":"print"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1097\/00006123-199708000-00006","article-title":"Occipital condyle fractures","volume":"41","author":"Tuli S","year":"1997","journal-title":"Neurosurgery","ISSN":"http:\/\/id.crossref.org\/issn\/0148-396X","issn-type":"print"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1590\/S0004-282X2001000100029","article-title":"Tratamento cir\u00fargico da fratura do c\u00f4ndilo occipital","volume":"59","author":"Gusm\u00e3o S","year":"2001","journal-title":"Arq. 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