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“The breeze at dawn has secrets to tell you. Don’t go back to sleep.”

– Rumi (1207-1273), Persian poet, jurist, theologian and mystic.

The dense dura sign

I call thus a densification at the base of the skull along bone margins seen on a gross cranial CT study.

After an accident, the usual radiological routine consists of cervical X-Rays and a “debulking” cranial CT.

Caution is taken at the beginning, stabilizing the cervical spine in a collar, a measure which might be dropped later on.

Such politics harbors the potential risk of missing a lesion of the cranio-vertebral junction.

If non-displaced, the initial study might overlook it.

Those are a few types, summed as so-called decapitation injuries.

They are all highly unstable, and a transection of the vertebral cord is the result, if handled without care.