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Annals of Rehabilitation Medicine ; : 168-171, 2016.
Artigo em Inglês | WPRIM | ID: wpr-223561

RESUMO

We report a 57-year-old man with bilateral cranial nerve IX and X palsies who presented with severe dysphagia. After a mild head injury, the patient complained of difficult swallowing. Physical examination revealed normal tongue motion and no uvular deviation. Cervical X-ray findings were negative, but a brain computed tomography revealed a skull fracture involving bilateral jugular foramen. Laryngoscopy indicated bilateral vocal cord palsy. In a videofluoroscopic swallowing study, food residue remained in the vallecula and pyriform sinus, and there was reduced motion of the pharynx and larynx. Electromyography confirmed bilateral superior and recurrent laryngeal neuropathy.


Assuntos
Humanos , Pessoa de Meia-Idade , Encéfalo , Lesões Encefálicas , Doenças dos Nervos Cranianos , Traumatismos Craniocerebrais , Deglutição , Transtornos de Deglutição , Eletromiografia , Nervo Glossofaríngeo , Laringoscopia , Laringe , Paralisia , Faringe , Exame Físico , Seio Piriforme , Fratura da Base do Crânio , Fraturas Cranianas , Língua , Paralisia das Pregas Vocais
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