PMC4403883_01
Comminute fracture through the occipital condyle on the right side in coronal and axial views.
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PMC4403883_01_13032_2015_24_Fig1_HTML.jpg
Fig1
The cranial CT-scan revealed a dislocated fracture of the right occipital condyle (Figure 1) and a small amount of blood in the interpeduncular cistern.
T2-weighted MRI of the spinal canal in the sagittal plane demonstrates a probable arachnoid cyst located anterior to the spinal cord from C2 and downwards. Additional MRI of the thoracic spine showed extension down to Th10. The MRI was performed one year after the accident.
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PMC4403883_01_13032_2015_24_Fig2_HTML.jpg
Fig2
Th10 (Figure 2). The lesion is most likely to be intradural and probably represents the accidental finding of an arachnoid cyst.
Left sided atrophy of the trapezius muscle and scapular winging (arrows).
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PMC4403883_01_13032_2015_24_Fig3_HTML.jpg
Fig3
She is partly disabled due to pain in the neck and the left shoulder where she has a scapular winging (Figure 3).