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KMID : 0361420110350060934
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Journal of Korean Academy of Rehabilitation Medicine
2011 Volume.35 No. 6 p.934 ~ p.938
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Collet-Sicard Syndrome in a Patient with Jeff erson Fracture
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Kwon Hee-Chung
Cho Dae-Kyung
Jang Yoon-Young
Lee Seong-Jae
Hyun Jung-Keun
Kim Tae-Uk
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Abstract
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Collet-Sicard syndrome is a rare condition characterized by the unilateral paralysis of the 9th through 12th cranial nerves. We describe a case of a 46-year-old man who presented with dysphagia after a falling down injury. Computed tomography demonstrated burst fracture of the atlas. Physical examination revealed decreased gag reflex on the left side, decreased laryngeal elevation, tongue deviation to the left side, and atrophy of the left trapezius muscle. Videofl uoroscopic swallowing study (VFSS) revealed frequent aspirations of a massive amount of thick liquid and incomplete opening of the upper esophageal sphincter during the pharyngeal phase. We report a rare case of Collet-Sicard syndrome caused by Jeff erson fracture.
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KEYWORD
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Collet-Sicard syndrome, Jeff erson fracture, Cranial nerve injury
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