Importance of the Dynamic in Head and Neck Trauma: A Case Report and Review of Literature Volume 2 - Issue 4

Collura Simone* and Andreoli Giovanni

• Department of Molecular and Translational Medicine, University of Brescia, Italy

Received: November 09, 2020   Published: December 13, 2020

Corresponding author: Collura Simone, Department of Molecular and Translational Medicine, University of Brescia, Italy

DOI: 10.32474/JCCM.2020.02.000143

 

Fulltext PDF

To view the Full Article   Peer-reviewed Article PDF

Abstract

Introduction: The dynamic is one of the most important aspect to evaluate in a trauma even if the first clinical findings are poor. Sometimes it can be the most relevant aspect.

Case report: Here we report a case of a 73 year-old woman who was invested by a car running about 30 km/h. The patient was projected a few meters away. There were contusions of the right hemithorax, the left leg and particularly of the right orbital region with hyperextension of the neck. The CT scan revealed fracture of the orbital and maxillary bones on the right side with frontal acute subarachnoid hemorrhage. There were also fractures of the posterior arch of C1 and a complex fracture of C2 without any neurological sign. The patient was then recovered in our hospital and underwent fixation of the first three cervical vertebrae three days after. Ten days after surgery the patient was discharged in good health with perfect neurological exam.

Discussion: The evaluation of the dynamic is really important in every trauma. Even where the clinical findings are poor, careful attention must be taken to dynamic like in our case. Particular dynamic features of the trauma can give indication to CT scan of the head and neck. Some clinical scales can be significant and very useful when evaluating the risk of cervical vertebral lesions with eventual indication to radiological exams.

Conclusion: When evaluating a trauma, attention to dynamic is strictly important. The physician must keep in mind appropriate and validated criteria for evaluation of the trauma in order to choose as soon as possible the best clinical process for the patient.

Abstract| Introduction| Case report| Discussion| Conclusion| References|