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A 19-year-old man was brought to the emergency department after a high-speed motorbike collision. The patient had a score of 3 on the Glasgow Coma Scale (possible scores range from 3 to 15, with higher scores indicating better function), and his blood pressure was 70/35 mm Hg. He did not respond adequately to advanced resuscitation; results of a subsequent emergency laparotomy were normal. After the patient's condition was further stabilized in the intensive care unit, computed tomography of the cervical spine showed major atlanto-occipital dislocation in the lateral view (Panel A) and anteroposterior view (Panel B, arrows), which proved to . . . [Full Text of this Article] |