Occipital Condyle Fracture With Isolated Unilateral Hypoglossal Nerve Palsy
Annals of Rehabilitation Medicine
;
: 689-693, 2014.
Artículo
en Inglés
| 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.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Hueso Paladar
/
Examen Físico
/
Reflejo
/
Sensación
/
Hombro
/
Lengua
/
Película para Rayos X
/
Accidentes de Tránsito
/
Dolor de Cuello
/
Enfermedades del Nervio Hipogloso
Límite:
Adulto
/
Humanos
Idioma:
Inglés
Revista:
Annals of Rehabilitation Medicine
Año:
2014
Tipo del documento:
Artículo
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