We report the case of a patient with occipital condyle fracture who wa
s neurologically intact. The patient was treated conservatively with a
neck collar, and the symptoms resolved in 3 months. This diagnosis ca
n be suspected in high-velocity road traffic accidents, in a patient w
ith neck pain, disproportionate torticollis, or lower cranial nerve sy
mptoms. Skull radiography and cervical spine films can be normal, The
diagnosis is best made by high-resolution computed tomographic (CT) sc
anning with sagittal and coronal reconstruction.