Traumatic Dissection of the Internal Maxillary Artery Associated with Isolated Glossopharyngeal Nerve Palsy: Case Report

Ahn, Jung Yong; Chung, Young Sun; Chung, Sang Sup; Yoon, Pyeong Ho

doi:10.1227/01.neu.0000134467.39340.55

Cited by 2 publications

(1 citation statement)

References 18 publications

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“…Intimal tears of both vertebral arteries (consequent to dissection) provided one plausible explanation for the dysarthria, bradypnea, and quadriparesis that occurred in a delayed fashion. [15–18] Compression of cranial nerve X in the same region was associated with the bradypnea. [16–18] The cranial nerve VI palsy was not immediately explained by the angiographic findings.…”

Section: Discussionmentioning

confidence: 99%

Atlantooccipital dislocation in motor vehicle side impact, derivation of the mechanism of injury, and implications for early diagnosis

Smith

Yoganandan

Pintar

et al. 2010

J Craniovert Jun Spine

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Numerous reports of atlantooccipital dislocations (AODs) have been described in frontal impacts and vehicle versus pedestrian collisions. Reports of survival after AOD in conjunction with side impacts have infrequently been reported in the literature. The objective of this study is to present a case of an AOD from a side impact vehicle collision, and deduce the mechanism of injury. A clinical and biomechanical reconstruction of the collision was performed to investigate the mechanism of the dislocation. A 51-year-old female was traveling in a four-door sedan and sustained a side impact collision with a compact pickup truck. At the time of extrication, the patient was neurologically intact with a Glasgow Coma Scale score of 15. After admittance to the hospital, the patient developed a decline in respiratory status, right mild hemiparesis, and left sixth-nerve palsy, and magnetic resonance imaging (MRI) and computed tomography (CT) reconstructions indicated a craniocervical dislocation. Surgical fixation was performed and all extra-axial hemorrhaging was evacuated. At discharge, the patient was neurologically intact on the left side, had right mild hemiparesis, left sixth-nerve palsy, and minor dysarthria. Survival rates of AODs have recently been increasing. Morbidity is still more prevalent, however. Due to the variety of symptoms that accompany AODs and the inconsistency of diagnostic imaging techniques, a thorough history of the etiology may lead to increased clinical suspicion of this injury and further raise survival rates.

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Section: Discussionmentioning

confidence: 99%

Atlantooccipital dislocation in motor vehicle side impact, derivation of the mechanism of injury, and implications for early diagnosis

Smith

Yoganandan

Pintar

et al. 2010

J Craniovert Jun Spine

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Skojarzone leczenie endowaskularne i chirurgiczne pourazowych krwawień z nosa

Rydzewski¹,

Juszkat²,

Matusiak³

et al. 2008

Otolaryngologia Polska

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We report on two cases of patients, in whom endovascular embolization of the maxillary artery and next surgical ligation of the anterior ethmoidal artery was performed due to posttraumatic intracrable epistaxis. In those patients, conservative treatment failed, hence endovascular embolization was made. Due to persisted bleeding, right anterior ethmoidal artery were surgically ligated in both patients. After the procedures, bleeding completely stopped.

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Traumatic Dissection of the Internal Maxillary Artery Associated with Isolated Glossopharyngeal Nerve Palsy: Case Report

Cited by 2 publications

References 18 publications

Atlantooccipital dislocation in motor vehicle side impact, derivation of the mechanism of injury, and implications for early diagnosis

Atlantooccipital dislocation in motor vehicle side impact, derivation of the mechanism of injury, and implications for early diagnosis

Skojarzone leczenie endowaskularne i chirurgiczne pourazowych krwawień z nosa

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