Emergency Medicine: Open Access
Open Access

Ramesh Muthu

Publications

• Case Report
  A Missed Diagnosis of Cervical Spine Fracture in Alcohol Intoxicated Patient
  Author(s): Ramesh Muthu and Surekha Kaneson Ramesh Muthu and Surekha Kaneson
  
  Introduction: A significant cervico-thoracic spondylolisthesis with bilateral facet joint dislocation is very unstable and can lead to devastating consequences if not diagnosed early. Symptomatic spondylolisthesis is frequently missed at Emergency Department (ED) due to various reasons. Besides inadequate radiographs, lack of cooperation by patients who are under alcohol intoxication is also one of the causative factors resulting in missed diagnosis of cervical spine fracture during the clinical assessment. Case Presentation: Forty three year old man, a chronic alcoholic presented to our emergency department with a missed diagnosis of C7-T1 anterolisthesis with bilateral facet joint dislocation. He had a fall from a height and sustained neck pain. Patient had multiple visits to our ED for the same complaint and was noted intoxicated with alcohol during both his visits. The radi.. View More»
  DOI: 10.4172/2165-7548.1000300

  Abstract PDF

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