%0 Journal Article %T An Odontoid Fracture Causing Apnea, Cardiac Instability, and Quadriplegia %A Christian A. Bowers %A Gregory F. Jost %A Andrew T. Dailey %J Case Reports in Critical Care %D 2012 %I Hindawi Publishing Corporation %R 10.1155/2012/821565 %X Odontoid fractures are typically associated with low rates of acute neurologic deficit and morbidity/mortality in nonelderly patients. In the patient in this case, traumatic injury triggered by a syncopal event led to a combined C1-C2 fracture and a fatal spinal cord injury with apnea, quadriplegia, and cardiovascular instability. We briefly review the anatomical basis for the pathophysiology of cardiac dysfunction following high-cervical spine injury and present an example of a worst-case scenario. %U http://www.hindawi.com/crim/cc/2012/821565/