Traumatic occipital condyle fractures

Çırak, Bayram; Akpınar, Gökhan; Palaoğlu, Selçuk

doi:10.1007/pl00011949

Cited by 19 publications

(14 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Meticulous history combined with the judicious use of thin-slice CT scan usually reveals the presence of temporal bone fractures 3) . In contrast, traumatic hypoglossal nerve palsy is rare: only 15 cases of isolated hypoglossal nerve palsy have been reported in literature, and the nerve palsy has almost invariably been associated with occipital condyle fractures [4][5][6][7][8][9][10][11][12][13][14][15][16] . Some patients may present with multiple lower cranial nerve palsies, i.e., injury of the IXth to XIth nerve, in addition to the hypoglossal nerve, which is known as Collet-Sicard syndrome 17,18) .…”

Section: Discussionmentioning

confidence: 99%

Delayed hypoglossal nerve palsy associated with occipital condyle fracture

Inamasu

Kuramae

Tomioka

et al. 2010

Nihon Kyukyu Igakukai Zasshi

View full text Add to dashboard Cite

A rare case of delayed hypoglossal nerve palsy associated with occipital condyle fracture is reported. A 24-year-old man accidentally fell from his bicycle and sustained a blow to the left temple. He was alert and oriented in the emergency department. On neurological examination, he was able to stick out his tongue. Because of his complaint of headache and neck pain, brain computed tomography (CT) scan and cervical spine radiographs were obtained. Both imaging studies were considered normal, and he was discharged. A week later, however, he returned to our clinic complaining of tongue deviation and persistent neck pain. A CT scan of the craniocervical junction revealed occipital condyle fracture of the right side involving the hypoglossal canal, and the fracture was apparently responsible for the hypoglossal nerve palsy. Since the fracture was considered stable biomechanically, he was treated conservatively with the use of a rigid cervical collar. His neck pain subsided gradually and tongue deviation resolved within 4 months of injury. Occipital condyle fractures are not as rare as had been believed earlier, and may occur even after lowenergy trauma. The possibility of occipital condyle fractures should be considered when treating patients with mild head injuries who complain of persistent neck pain, even if their cervical spine series appear normal. (JJAAM. 2010; 21: 72-6)

show abstract

Section: Discussionmentioning

confidence: 99%

Delayed hypoglossal nerve palsy associated with occipital condyle fracture

Inamasu

Kuramae

Tomioka

et al. 2010

Nihon Kyukyu Igakukai Zasshi

View full text Add to dashboard Cite

show abstract

“…And follow-up high-resolution CT scan is recommended at 10 to 12 weeks after injury in order to healing of the fracture 2,7,21) .…”

Section: Discussionmentioning

confidence: 99%

Traumatic Occipital Condylar Fracture: A Case Report

Kim

Whang

et al. 2006

J Korean Neurotraumatol Soc

View full text Add to dashboard Cite

Occipital condylar fracture (OCF) is a rare disease entity that can not be easily diagnosed. Since it is hard to diagnose OCF by routine skull and cervical plain radiological evaluation, sophisticated studies such as an isotope bone scan and craniocervical junction computed tomography (CT) should be considered. We describe a patient of the occipital condylar fracture who presented with mild neck pain without any neurologic deficits and abnormality of high cervical area by plain X-rays. The clinical and radiological evaluation and treatment of this lesion is discussed.

show abstract

“…It leaves the cranium through the hypoglossal canal and runs inferiorly and anteriorly, passing medial to the angles of the mandible and between the mylohyoid and hypoglossus to reach the muscles of the tongue. 9 As CN XII descends through the hypoglossal canal at the skull base, it crosses the anterior surface of the transverse process of C1. 4 The hypoglossal nerve can become stretched across the transverse process of C1 during hyperextension at the cranio-cervical junction.…”

Section: Discussionmentioning

confidence: 99%

“…4 The hypoglossal nerve can become stretched across the transverse process of C1 during hyperextension at the cranio-cervical junction. [7][8][9] Trauma to the base of the skull in the region of the occipital condyle typically occurs after significant decelerative head injuries, which are normally associated with motor vehicle crashes. 9,10 In comparison, injury during athletic participation, such as wrestling, is a relatively lowenergy mechanism.…”

Section: Discussionmentioning

confidence: 99%

“…[7][8][9] Trauma to the base of the skull in the region of the occipital condyle typically occurs after significant decelerative head injuries, which are normally associated with motor vehicle crashes. 9,10 In comparison, injury during athletic participation, such as wrestling, is a relatively lowenergy mechanism. Computed tomography scanning of the cranio-cervical junction is essential to confirm or rule out the diagnosis of cranial base fractures.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Unilateral Hypoglossal Nerve Injury in a Collegiate Wrestler: A Case Report

Loro

Owens

2009

Journal of Athletic Training

View full text Add to dashboard Cite

Objective: To introduce the case of a collegiate wrestler who suffered a traumatic unilateral hypoglossal nerve injury. This case presents the opportunity to discuss the diagnosis and treatment of a 20-year-old man with an injury to his right hypoglossal nerve.Background: Injuries to the hypoglossal nerve (cranial nerve XII) are rare. Most reported cases are the result of malignancy, with traumatic causes less common. In this case, a collegiate wrestler struck his head on the wrestling mat during practice. No loss of consciousness occurred. The wrestler initially demonstrated signs and symptoms of a mild concussion, with dizziness and a headache. These concussion symptoms cleared quickly, but the athlete complained of difficulty swallowing (dysphagia) and demonstrated slurred speech (dysarthria). Also, his tongue deviated toward the right. No other neurologic deficits were observed.Differential Diagnosis: Occipital-cervical junction fracture, syringomyelia, malignancy, iatrogenic causes, cranial nerve injury.Treatment: After initial injury recognition, the athletic trainer placed the patient in a cervical collar and transported him to the emergency department. The patient received prednisone, and the emergency medicine physician ordered cervical spine plain radiographs, brain computed tomography, and brain and internal auditory canal magnetic resonance imaging. The physician consulted a neurologist, who managed the patient conservatively, with rest and no contact activity. The neurologist allowed the patient to participate in wrestling 7 months after injury.Uniqueness: To our knowledge, no other reports of unilateral hypoglossal nerve injury from relatively low-energy trauma (including athletics) exist.Conclusions: Hypoglossal nerve injury should be considered in individuals with head injury who experience dysphagia and dysarthria. Athletes with head injuries require cranial nerve assessments.

show abstract

Traumatic occipital condyle fractures

Cited by 19 publications

References 13 publications

Delayed hypoglossal nerve palsy associated with occipital condyle fracture

Delayed hypoglossal nerve palsy associated with occipital condyle fracture

Traumatic Occipital Condylar Fracture: A Case Report

Unilateral Hypoglossal Nerve Injury in a Collegiate Wrestler: A Case Report

Contact Info

Product

Resources

About