Occipital condyle fracture with unilateral collet-Sicard Syndrome

<div><strong>Background:</strong> 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.</div> <div><strong>Aim:</strong> To report a case of OCF with unilateral Collet-Sicard syndrome.</div> <div><strong>Case report:</strong> 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.</div> <div><strong>Conclusion:</strong> Emergency doctors and neurosurgeons must be aware of the OCF with lower cranial palsy, to not be misdiagnosed.</div>