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Indian Journal of Neurotrauma 2012; 09(02): 140-142
DOI: 10.1016/j.ijnt.2012.11.006
Case Report
Thieme Medical and Scientific Publishers Private Ltd.

Isolated glossopharyngeal and vagus nerve palsy due to fracture involving the jugular foramen – Report of three cases

Ishwar Singh
a   Associate Professor & Head, Department of Neurosurgery, Pt. B.D. Sharma University of Health Sciences, Rohtak, Haryana 124001, India
,
Shyam Singla
b   Sr Professor & Unit Head, Department of Surgery, Pt. B.D. Sharma University of Health Sciences, Rohtak, Haryana, India
,
Gulshan Kumar
c   Sr Resident, Department of Surgery, Pt. B.D. Sharma University of Health Sciences, Rohtak, Haryana, India
,
Seema Rohilla
d   Professor, Department of Radiodiagnosis, Pt. B.D. Sharma University of Health Sciences, Rohtak, Haryana, India
› Author Affiliations
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Publication History

04 November 2012

25 November 2012

Publication Date:
06 April 2017 (online)

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Abstract

Paralysis of the lower cranial nerves in closed head injuries is very rare. Only sporadic cases of post-traumatic lower cranial palsy have been documented so far. We report 3 such cases who presented with lower cranial palsy due to fracture of the base of skull. They were managed conservatively with enteral feeding and steroids. Two patients recovered completely and one patient could achieve only partial recovery at one-year follow up.

Keywords

Head injury - Lower cranial nerve - Jugular foramen fracture
 

  • References

  • 1 Wani M.A., Tandon P.N., Banerji A.K., Bhatia R.. Collet-Sicard syndrome resulting from closed injury: case report. J Trauma 1991; 31: 1437-1439
    CrossrefPubMedSearch in Google Scholar
  • 2 Palatucci D.M.. Unilateral paralysis of cranial nerve IX to XII. JAMA 1974; 24: 229
    PubMedSearch in Google Scholar
  • 3 Lo W.W.M., Solti-Bohman L.G.. High resolution CT of the jugular foramen: anatomy and vascular variants and anomalies. Radiology 1984; 150: 743-747
    CrossrefPubMedSearch in Google Scholar
  • 4 Rothon L.. Jugular foramen. Neurosurgery 2000; 47 suppl 267-273
    CrossrefPubMedSearch in Google Scholar
  • 5 Alberio N., Cultrera F., Antonelli V., Servadei F.. Isolated glossopharyngeal and vagus nerve palsy due to fracture involving the left jugular foramen. Acta Neurochir (Wien) 2005; 147: 791-794
    CrossrefPubMedSearch in Google Scholar
  • 6 Legros B., Fournier P., Chiaronic P., Ritz O., Fusciardi J.. Basal fracture of the skull and lower (IX, X, XI, XII) cranial nerve palsy: four case report including two fractures of the occipital condyles – a literature review. J Trauma 2000; 48: 342-348
    CrossrefPubMedSearch in Google Scholar
  • 7 Hashimoto T., Watanabe O., Takase M., Koniyama J., Kobota M.. Collet-Sicard syndrome after minor head trauma. Neurosurgery 1988; 23: 367-370
    CrossrefPubMedSearch in Google Scholar
  • 8 Shyla P.R., Manoj K.S., Sumadevi D.. An unusual aetiology of unilateral vagal palsy: a case report. Indian J Otolaryngol Head Neck Surg 2006; 58: 90-92
    PubMedSearch in Google Scholar
  • 9 Schlake H.P., Goldbranner R.H., Milewski C.. et al Intra operative electromyographic monitoring of lower cranial nerve (LCN IX-XII) in skull base surgery. Clin Neurol Neurosurg 2001; 103: 72-82
    CrossrefPubMedSearch in Google Scholar