Against traffic-direction on the highway. Collision. A person comes CEBR the response; dcd another during transport to the hpital; troisime is brought by the firefighters directly to the scanner. It is conscious and well oriented in time and space. There was no loss of consciousness. The patient complains of chest pain and left flank. According to the emergency, there is no sign of neurological dficit. An open fracture of the arm is empty and we have supper also other members infrieurs fractures. The patient is trs team and its implementation on the radio scanner handheld table is long and complicated. Protocol review tomodensitomtrique: Body scan demand. Acquisition volume on the CRNE and spine without contrast injection. Acquisition volume of the thorax and abdomen APRS intravenous injection of contrast. Sagittale1 Reconstruction, mandible. 2, maxillary suprieure. 3, C1. 4, C2. 5, C3. 6, C7. (Note: below C2, the INTERPRETATION is not reliable due to Artfact . . ). Note: dficits of one or more nerves crniens (9 until 12) may occur late. These are probably reread dficits callus formation or secondary migration of a fragment. In our case, the scan shows a comminuted fracture of the occipital condyle. The fracture line passes through the hypoglossal canal and continues into the clivus. This is a type II fracture as classified by Anderson and Montesano. The INTERPRETATION of the review by the silent limits of Artfact prsence caused by hooks mtalliques reread the stretcher arms fire, the cables of monitoring, the arms of the accident lay down his body, etc. . In a review tomodensitomtrique, it is vital that the stretcher is used radiolucent and that all parties can be removable mtalliques! The scanner-compatible hardware is certainly a little more coteux, but what gain obtained on the precision of diagnosis and. . patient comfort (last but not least). Hanson JA, Deliganis AV, Baxter AB, Cohen WA, Linnau KF, Wilson AJ, Mann FA. 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