Long-term resolution of delayed onset hypoglossal nerve palsy following occipital condyle fracture: Case report and review of the literature.
- Resource Type
- Case Study
- Authors
- VADIVELU, SUDHAKAR; MASOOD, ZIHAN; KRUEGER, BRYAN; MARCIANO, RUDY; CHEN, DAVID; HOUSEMAN, CLIFF; INSINGA, SALVATORE
- Source
- Journal of Craniovertebral Junction & Spine. Apr-Jun2017, Vol. 8 Issue 2, p149-152. 4p.
- Subject
- *CRANIAL nerve diseases
*OCCIPITAL bone
*SURGICAL decompression
*FRACTURE fixation
*PATHOLOGICAL physiology
*WOUNDS & injuries
MEDICAL literature reviews
- Language
- ISSN
- 0974-8237
The authors present the case of a patient that demonstrates resolution of delayed onset hypoglossal nerve palsy (HNP) subsequent to occipital condyle fracture following a motor vehicle accident. Decompression of the hypoglossal nerve and craniocervical fixation led to satisfactory long-term (>5 years) outcome. There is a scarcity of literature in recognizing HNPs following trauma and a lack of pathophysiological understanding to both a delayed presentation and to resolution versus persistence. This is the first report demonstrating long-term resolution of hypoglossal nerve injury following trauma to the craniocervical junction. [ABSTRACT FROM AUTHOR]