Calcification of the alar ligament mimics fracture of the craniovertebral junction (CVJ): an incidental finding from computerised tomography of the cervical spine following trauma

Calcification of the alar ligament mimics fracture of the craniovertebral junction (CVJ): an incidental finding from computerised tomography of the cervical spine following trauma

When performing a radiological assessment for a trauma case with associated head injury, a fragment of dense tissue detected near the craniovertebral junction would rapidly be assessed as a fractured bone fragment. However, if further imaging and evaluation of the cervical spine with computerised to...

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Main Authors: Che Mohamed, Siti Kamariah, Abd. Aziz, Azian
Format: Article
Language:English
Published: Universiti Sains Malaysia Press. 2009
Subjects:
R Medicine (General)
Online Access:http://irep.iium.edu.my/1233/
http://irep.iium.edu.my/1233/
http://irep.iium.edu.my/1233/1/Calcification_of_the_Alar_Ligament_Mimics_Fracture.pdf
id iium-1233
recordtype eprints
spelling iium-12332013-04-26T10:24:16Z http://irep.iium.edu.my/1233/ Calcification of the alar ligament mimics fracture of the craniovertebral junction (CVJ): an incidental finding from computerised tomography of the cervical spine following trauma Che Mohamed, Siti Kamariah Abd. Aziz, Azian R Medicine (General) When performing a radiological assessment for a trauma case with associated head injury, a fragment of dense tissue detected near the craniovertebral junction would rapidly be assessed as a fractured bone fragment. However, if further imaging and evaluation of the cervical spine with computerised tomography (CT) did not demonstrate an obvious fracture, then the possibility of ligament calcification would be considered. We present a case involving a previously healthy 44-year old man who was admitted following a severe head injury from a road traffic accident. CT scans of the head showed multiple intracrania haemorrhages, while scans of the cervical spine revealed a small, well-defined, ovoid calcification in the right alar ligament. This was initially thought to be a fracture fragment. Although such calcification is uncommon, accident and emergency physicians and radiologists may find this useful as a differential diagnosis in patients presenting with neck pain or traumatic head injury. Universiti Sains Malaysia Press. 2009 Article PeerReviewed application/pdf en http://irep.iium.edu.my/1233/1/Calcification_of_the_Alar_Ligament_Mimics_Fracture.pdf Che Mohamed, Siti Kamariah and Abd. Aziz, Azian (2009) Calcification of the alar ligament mimics fracture of the craniovertebral junction (CVJ): an incidental finding from computerised tomography of the cervical spine following trauma. Malaysian Journal of Medical Sciences, 16 (4). pp. 69-72. ISSN 1394-195X http://www.mjms.usm.my/default.asp?tag=14&kod_volume=30
repository_type Digital Repository
institution_category Local University
institution International Islamic University Malaysia
building IIUM Repository
collection Online Access
language English
topic R Medicine (General)
spellingShingle R Medicine (General)
Che Mohamed, Siti Kamariah
Abd. Aziz, Azian
Calcification of the alar ligament mimics fracture of the craniovertebral junction (CVJ): an incidental finding from computerised tomography of the cervical spine following trauma
description When performing a radiological assessment for a trauma case with associated head injury, a fragment of dense tissue detected near the craniovertebral junction would rapidly be assessed as a fractured bone fragment. However, if further imaging and evaluation of the cervical spine with computerised tomography (CT) did not demonstrate an obvious fracture, then the possibility of ligament calcification would be considered. We present a case involving a previously healthy 44-year old man who was admitted following a severe head injury from a road traffic accident. CT scans of the head showed multiple intracrania haemorrhages, while scans of the cervical spine revealed a small, well-defined, ovoid calcification in the right alar ligament. This was initially thought to be a fracture fragment. Although such calcification is uncommon, accident and emergency physicians and radiologists may find this useful as a differential diagnosis in patients presenting with neck pain or traumatic head injury.
format Article
author Che Mohamed, Siti Kamariah
Abd. Aziz, Azian
author_facet Che Mohamed, Siti Kamariah
Abd. Aziz, Azian
author_sort Che Mohamed, Siti Kamariah
title Calcification of the alar ligament mimics fracture of the craniovertebral junction (CVJ): an incidental finding from computerised tomography of the cervical spine following trauma
title_short Calcification of the alar ligament mimics fracture of the craniovertebral junction (CVJ): an incidental finding from computerised tomography of the cervical spine following trauma
title_full Calcification of the alar ligament mimics fracture of the craniovertebral junction (CVJ): an incidental finding from computerised tomography of the cervical spine following trauma
title_fullStr Calcification of the alar ligament mimics fracture of the craniovertebral junction (CVJ): an incidental finding from computerised tomography of the cervical spine following trauma
title_full_unstemmed Calcification of the alar ligament mimics fracture of the craniovertebral junction (CVJ): an incidental finding from computerised tomography of the cervical spine following trauma
title_sort calcification of the alar ligament mimics fracture of the craniovertebral junction (cvj): an incidental finding from computerised tomography of the cervical spine following trauma
publisher Universiti Sains Malaysia Press.
publishDate 2009
url http://irep.iium.edu.my/1233/
http://irep.iium.edu.my/1233/
http://irep.iium.edu.my/1233/1/Calcification_of_the_Alar_Ligament_Mimics_Fracture.pdf
first_indexed 2023-09-18T20:08:27Z
last_indexed 2023-09-18T20:08:27Z
_version_ 1777407316461617152

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