Bilateral Cranial IX and X Nerve Palsies After Mild Traumatic Brain Injury.
10.5535/arm.2016.40.1.168
- Author:
Seung Don YOO
1
;
Dong Hwan KIM
;
Seung Ah LEE
;
Hye In JOO
;
Jin Ah YEO
;
Sung Joon CHUNG
Author Information
1. Department of Rehabilitation Medicine, Kyung Hee University, Seoul, Korea. sungjoon.chung@gmail.com
- Publication Type:Case Report
- Keywords:
Basilar skull fracture;
Cranial nerve diseases
- MeSH:
Brain;
Brain Injuries*;
Cranial Nerve Diseases;
Craniocerebral Trauma;
Deglutition;
Deglutition Disorders;
Electromyography;
Glossopharyngeal Nerve;
Humans;
Laryngoscopy;
Larynx;
Middle Aged;
Paralysis*;
Pharynx;
Physical Examination;
Pyriform Sinus;
Skull Fracture, Basilar;
Skull Fractures;
Tongue;
Vocal Cord Paralysis
- From:Annals of Rehabilitation Medicine
2016;40(1):168-171
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
