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Atlantoaxial wiring hardware failure resulting in intracranial hemorrhage and hydrocephalus: illustrative case

Anass Benomar, Harrison J. Westwick, Sami Obaid, André Nzokou, Sung-Joo Yuh, and Daniel Shedid

tomography (CT) of the head demonstrated subarachnoid and intraventricular hemorrhage with moderate hydrocephalus and signs of intracranial hypertension. Imaging also revealed a high cervical and posterior fossa subdural hematoma ( Fig. 1 ). She was transferred to our institution with a high-grade subarachnoid hemorrhage and hydrocephalus. FIG. 1. Axial noncontrast CT of the head showing upper cervical subdural hemorrhage ( A ), posterior fossa subarachnoid hemorrhage ( B ), intraventricular hemorrhage in the fourth ventricle ( B ), and hydrocephalus ( C ). She