Wani M A, Tandon P N, Banerji A K, Bhatia R
Department of Surgical Neurology, Steglitz Medical Center, Berlin, Federal Republic of Germany.
J Trauma. 1991 Oct;31(10):1437-9. doi: 10.1097/00005373-199110000-00025.
A 67-year-old man developed paralysis of the right ninth, tenth, eleventh, and twelfth cranial nerves (Collet-Sicard syndrome) after sustaining a closed head injury. Plain x-ray films of the skull revealed two linear fractures of the occipital bone (one of them probably traversing through the right occipital condyle) and a prominent soft-tissue shadow in the region of the nasopharynx, suggestive of a skull base fracture. The patient was managed conservatively. This is the only case of unilateral multiple caudal cranial nerve palsies (IX through XII), seen by us over a 20-year period, from among more than 5,000 moderate to significant head injuries.
一名67岁男性在闭合性颅脑损伤后出现右侧第九、十、十一和十二对颅神经麻痹（科莱-西卡尔综合征）。颅骨平片显示枕骨有两条线性骨折（其中一条可能穿过右枕髁），鼻咽部区域有明显的软组织阴影，提示颅底骨折。该患者接受了保守治疗。这是我们在20年期间，从5000多例中度至重度颅脑损伤中见到的唯一一例单侧多发性尾侧颅神经麻痹（第九至十二对颅神经）。
