Background: After reviewing the literature about sella turcica and spheno-occipital synchondrosis fracture, we present the case of a 6-year-old girl who suffered complex sphenoid bone fracture produced by an indirect mechanism.
Methods: The girl fell from her height after a blunt head injury due to a falling lamppost.
Results: Computer tomography (CT) scan showed occipital, sellar and clival fractures with pneumatocephalus. The probable fracture mechanism is contre-coup injury linked to osseous and brain oscillations after head trauma.
Conclusion: Two complications, abducens nerve palsy and cerebrospinal fluid fistula, are observed and discussed.
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