Internal decapitation

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Internal decapitation is a severe injury characterized by the dislocation of the skull from the spinal column. Despite its name, it does not involve the removal of the head, but rather a disconnection of the cranial bone from the rest of the body. This condition is often fatal due to the critical nature of the structures involved, but survival is possible with immediate and appropriate medical intervention.

Causes[edit | edit source]

Internal decapitation is most commonly caused by high-impact trauma, such as that experienced in a car accident or a severe fall. The force required to cause this injury is significant, and it often occurs in conjunction with other serious injuries.

Symptoms[edit | edit source]

Symptoms of internal decapitation can vary depending on the severity of the injury and the specific structures involved. Common symptoms include severe neck pain, difficulty moving the head, and neurological symptoms such as numbness or weakness in the limbs. In severe cases, the injury can lead to paralysis or death.

Diagnosis[edit | edit source]

Diagnosis of internal decapitation typically involves imaging studies such as X-rays or MRI scans. These can reveal the dislocation of the skull from the spinal column and any associated injuries.

Treatment[edit | edit source]

Treatment for internal decapitation is typically surgical. The goal of treatment is to stabilize the head and neck to prevent further injury and to repair any damage to the spinal cord or other structures. This often involves the use of screws and plates to secure the skull to the spinal column.

Prognosis[edit | edit source]

The prognosis for individuals with internal decapitation is highly variable and depends on the severity of the injury, the individual's overall health, and the speed and effectiveness of treatment. While survival is possible, many individuals who survive this injury experience long-term complications such as chronic pain, limited mobility, and neurological deficits.

See also[edit | edit source]


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Contributors: Prab R. Tumpati, MD