loading page

Atlantooccipital fracture with intrathecal haematoma- a novel treatment method
  • Yvonne Hall,
  • Lucinda Meehan,
  • James Prutton
Yvonne Hall
The Liphook Equine Hospital

Corresponding Author:[email protected]

Author Profile
Lucinda Meehan
Liphook Equine Hospital Limited
Author Profile
James Prutton
Liphook Equine Hospital
Author Profile


This case report describes successful conservative management of a comminuted fracture of the atlas. To the authors knowledge, fracture of the atlas in the horse and intrathecal corticosteroid injection in the standing sedated patient has not been previously reported. Clinical signs included acute onset ataxia, proprioceptive deficits and neck stiffness; which developed immediately post trauma during assisted recovery from general anaesthesia. Radiographic examination was not diagnostic immediately post trauma and computed tomographic (CT) imaging subsequently identified a fracture of the atlas. Treatment included ultrasound guided intrathecal medication of the cerebrospinal fluid and intra-articular medication of the atlantooccipital joint under standing sedation. Medication resulted in a marked improvement in clinical signs (grade 4 ataxia to grade 1 ataxia).
03 Aug 2023Submitted to Equine Veterinary Education
04 Aug 2023Assigned to Editor
04 Aug 2023Submission Checks Completed
08 Aug 2023Reviewer(s) Assigned
26 Sep 2023Review(s) Completed, Editorial Evaluation Pending
26 Sep 2023Editorial Decision: Revise Minor