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Bilateral Hypoglossal Nerve Injury with Occipital Condylar Fracture

Published online by Cambridge University Press:  18 September 2015

Cornelius H. Lam  and
Joseph Stratford
Cornelius H. Lam*
Affiliation:
Division of Neurosurgery, Montreal General Hospital, McGill University, Montreal
Joseph Stratford*
Affiliation:
Division of Neurosurgery, Montreal General Hospital, McGill University, Montreal
*
Division of Neurosurgery, Montreal General Hospital, McGill University. 1650 Cedar Avenue, Montreal, Quebec, Canada H3G 1A4
Division of Neurosurgery, Montreal General Hospital, McGill University. 1650 Cedar Avenue, Montreal, Quebec, Canada H3G 1A4
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Abstract:

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Background: A 20-year-old woman with a right occipital condylar fracture and bilateral hypoglossal nerve injury is presented. Only 17 cases of condylar fracture have been reported in the literature. Methods: The patient was evaluated with plain films, coronal and axial cut CT, and MRI. Results: MRI showed a severely distorted but otherwise normal medulla and a displaced condylar bone fragment. Conclusion: Condylar fracture may cause twelfth nerve palsy by injuring the central or peripheral nerve.

Type
Original Articles
Information
Canadian Journal of Neurological Sciences , Volume 23 , Issue 2 , February 1996 , pp. 145 - 148
Copyright
Copyright © Canadian Neurological Sciences Federation 1996

References

1.Macedo, TF, Gow, PJ, Heap, SW, Wallis, WE.Bilateral hypoglossal nerve palsy due to vertical subluxation of the odontoid process in rheumatoid arthritis Br J Rheumatol 1988; 27: 317–320.CrossRefGoogle ScholarPubMed
2.Bolender, N, Cromwell, LD, Wendling, L.Fracture of the occipital condyle. Am J Roentgenol 1978; 131: 729–731.CrossRefGoogle ScholarPubMed
3.Delamont, RS, Boyle, RS.Traumatic hypoglossal nerve palsy. Clin Exp Neurol 1989; 26: 239–240.Google ScholarPubMed
4.Handel, SF, Lee, YY.Computed tomography of spinal fractures. Radiol Clin North Am 1981; 19: 69–89.Google ScholarPubMed
5.Harding-Smith, J, Macintosh, PK, Sherbon, KJ.Fracture of the occipital condyle. J Bone Joint Surg 1981; 63–A: 1170–1171.Google ScholarPubMed
6.Hashimoto, T, Watanabe, O, Takase, M, Koniyama, J, Kobota, M.Collet-Sicard syndrome after minor head trauma. Neurosurgery 1988; 23:367–370.CrossRefGoogle ScholarPubMed
7.Jacob, CG.Fracture of the occipital condyle (letter). Am J Roentgenol 1979; 132:500.Google Scholar
8.Orbay, T, Sukru, A, Zekai, Z, Ergun, R.Late hypoglossal nerve palsy following fracture of the occipital condyle. Surg Neurol 1989; 31:402–404.CrossRefGoogle ScholarPubMed
9.Spencer, JA, Yeakley, JW, Kaufman, HH.Fracture of the occipital condyle. Neurosurgery 1984; 15: 101–103.CrossRefGoogle ScholarPubMed
10.Katchen, MS, Lyons, TJ, Gillingham, KK, Schlegel, W.A case of left hypoglossal neurapraxia following G exposure in a centrifuge. Aviat Space Environ Med 1990; 61: 837–839.Google Scholar
11.Wani, MA, Tandon, PN, Banerji, AK, Bhatia, R.Collet-Sicard syndrome resulting from closed head injury: case report. J Trauma 1991; 31: 1437–1439.CrossRefGoogle ScholarPubMed
12.Dohrmann, GJ, Panjabi, MM, Banks, D.Biomechanics of experimental spinal cord trauma. J Neurosurg 1978; 48: 993–1001.CrossRefGoogle ScholarPubMed