Occipital condyle fracture with unilateral collet-Sicard Syndrome

Background: Occipital condylar fractures (OCF) are uncommon injuries usually resulting from high-energy blunt trauma. They have been under-diagnosed. Posttraumatic unilateral paralysis of the last four cranial nerves, known as collet-Sicard syndrome, is rare following OCF. Aim: To report a case of OCF with unilateral Collet-Sicard syndrome. Case report: A 42-year-old man was admitted after being involved in a car accident with left collet-Sicard syndrome due to OCF. A brief review of the literature on OCF associated with lower cranial nerve palsy is reported. Conclusion: Emergency doctors and neurosurgeons must be aware of the OCF with lower cranial palsy, to not be misdiagnosed.