Abstract
We are reporting a case of odontoid fracture presenting as one-sided jaw pain. An 83-year-old man was admitted with severe right jaw pain. He stated that he tripped in the frontyard of his house 2 days before. There was nothing remarkable on neurological examination. Two frontal Xray images of the head and neck were negative. MRI showed C3-C4 nucleus pulposus hernia. CT of the cervical spine revealed an acute fracture of C2 which extended through the base of the odontoid into the right side of the C2 body, right pedicale and right transverse foramen. The patient was immobilized with a halo and the pain substantially improved. Isolated jaw pain can be sign of odontoid fracture. CT of the cervical spine is indispensable to exclude occult fractures not seen on plain X-rays.
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