Collet-Sicard Syndrome in a Patient with Jefferson Fracture.
10.5535/arm.2011.35.6.934
- Author:
Hee Chung KWON
1
;
Dae Kyung CHO
;
Yoon Young JANG
;
Seong Jae LEE
;
Jung Keun HYUN
;
Tae Uk KIM
Author Information
1. Department of Rehabilitation Medicine, College of Medicine, Dankook University, Cheonan 330-715, Korea. magnarbor@dkuh.co.kr
- Publication Type:Case Report
- Keywords:
Collet-Sicard syndrome;
Jefferson fracture;
Cranial nerve injury
- MeSH:
Aspirations (Psychology);
Atrophy;
Cranial Nerve Injuries;
Cranial Nerves;
Deglutition;
Deglutition Disorders;
Esophageal Sphincter, Upper;
Humans;
Middle Aged;
Muscles;
Paralysis;
Physical Examination;
Reflex;
Tongue
- From:Annals of Rehabilitation Medicine
2011;35(6):934-938
- CountryRepublic of Korea
- Language:English
-
Abstract:
Collet-Sicard syndrome is a rare condition characterized by the unilateral paralysis of the 9th through 12th cranial nerves. We describe a case of a 46-year-old man who presented with dysphagia after a falling down injury. Computed tomography demonstrated burst fracture of the atlas. Physical examination revealed decreased gag reflex on the left side, decreased laryngeal elevation, tongue deviation to the left side, and atrophy of the left trapezius muscle. Videofluoroscopic swallowing study (VFSS) revealed frequent aspirations of a massive amount of thick liquid and incomplete opening of the upper esophageal sphincter during the pharyngeal phase. We report a rare case of Collet-Sicard syndrome caused by Jefferson fracture.
