A patient with an odontoid fracture and atrophy of the tongue: a case report and systematic review of the literature.
Surg Neurol
; 64(6): 525-32, discussion 532-3, 2005 Dec.
Article
em En
| MEDLINE
| ID: mdl-16293473
ABSTRACT
BACKGROUND:
Traumatic hypoglossal nerve palsy is a rare entity and has rarely been described in association with an odontoid fracture. CASE DESCRIPTION We present a patient with a posttraumatic odontoid fracture who developed selective weakness of his arms and a unilateral hypoglossal nerve palsy. A systematic review of the literature is presented, and hypothetical causes for the injury are discussed.CONCLUSION:
Bell's cruciate paralysis and central cord syndrome are probably expressions of the same mechanism rather than 2 separate entities based on a preferential damage of pyramidal crossing arm fibers. C2 fractures with concomitant lower cranial nerve injury are relatively rare and have a reasonably good outcome, especially when unilateral.
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Base de dados:
MEDLINE
Assunto principal:
Língua
/
Doenças do Nervo Hipoglosso
/
Fraturas Fechadas
/
Processo Odontoide
Tipo de estudo:
Systematic_reviews
Limite:
Aged
/
Aged80
/
Humans
/
Male
Idioma:
En
Ano de publicação:
2005
Tipo de documento:
Article