Occipital Condyle Fracture With Isolated Unilateral Hypoglossal Nerve Palsy
Annals of Rehabilitation Medicine
;
: 689-693, 2014.
Article
in English
| WPRIM
| ID: wpr-198065
ABSTRACT
Occipital condyle fractures (OCFs) with selective involvement of the hypoglossal canal are rare. OCFs usually occur after major trauma and combine multiple fractures. We describe a 38-year-old man who presented with neck pain and a tongue deviation to the right side after a traffic accident. Severe limitations were detected during active and passive range of neck motion in all directions. A physical examination revealed a normal gag reflex and normal mobility of the palate, larynx, and shoulder girdle. He had normal taste and general sensation in his tongue. However, he presented with a tongue deviation to the right side on protrusion. A videofluoroscopic swallowing study revealed piecemeal deglutition due to decreased tongue mobility but no aspiration of food. Plain X-ray film findings were negative, but a computed tomography study with coronal reconstruction demonstrated a right OCF involving the hypoglossal canal. An electrodiagnostic study revealed evidence of right hypoglossal nerve palsy. We report a rare case of isolated hypoglossal nerve palsy caused by an OCF.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Palate
/
Physical Examination
/
Reflex
/
Sensation
/
Shoulder
/
Tongue
/
X-Ray Film
/
Accidents, Traffic
/
Neck Pain
/
Hypoglossal Nerve Diseases
Limits:
Adult
/
Humans
Language:
English
Journal:
Annals of Rehabilitation Medicine
Year:
2014
Type:
Article
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