Occipital Condyle Fracture With Isolated Unilateral Hypoglossal Nerve Palsy
Annals of Rehabilitation Medicine
;
: 689-693, 2014.
Artigo
em Inglês
| 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:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Palato
/
Exame Físico
/
Reflexo
/
Sensação
/
Ombro
/
Língua
/
Filme para Raios X
/
Acidentes de Trânsito
/
Cervicalgia
/
Doenças do Nervo Hipoglosso
Limite:
Adulto
/
Humanos
Idioma:
Inglês
Revista:
Annals of Rehabilitation Medicine
Ano de publicação:
2014
Tipo de documento:
Artigo
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