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KMID : 0361420160400010168
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Journal of Korean Academy of Rehabilitation Medicine
2016 Volume.40 No. 1 p.168 ~ p.171
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Bilateral Cranial IX and X Nerve Palsies After Mild Traumatic Brain Injury
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Yoo Seung-Don
Kim Dong-Hwan
Lee Seung-Ah
Joo Hye-In
Yeo Jin-Ah
Chung Sung-Joon
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Abstract
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We report a 57-year-old man with bilateral cranial nerve IX and X palsies who presented with severe dysphagia. After a mild head injury, the patient complained of difficult swallowing. Physical examination revealed normal tongue motion and no uvular deviation. Cervical X-ray findings were negative, but a brain computed tomography revealed a skull fracture involving bilateral jugular foramen. Laryngoscopy indicated bilateral vocal cord palsy. In a videofluoroscopic swallowing study, food residue remained in the vallecula and pyriform sinus, and there was reduced motion of the pharynx and larynx. Electromyography confirmed bilateral superior and recurrent laryngeal neuropathy.
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KEYWORD
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Basilar skull fracture, Cranial nerve diseases
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