Occipital condylar fracture (OCF) is a rare disease entity that can not be easily diagnosed. Since it is hard to diagnose OCF by routine skull and cervical plain radiological evaluation, sophisticated studies such as an isotope bone scan and craniocervical junction computed tomography (CT) should be considered. We describe a patient of the occipital condylar fracture who presented with mild neck pain without any neurologic deficits and abnormality of high cervical area by plain X-rays. The clinical and radiological evaluation and treatment of this lesion is discussed.