Yoo Seung Don, Kim Dong Hwan, Lee Seung Ah, Joo Hye In, Yeo Jin Ah, Chung Sung Joon
Department of Rehabilitation Medicine, Kyung Hee University, Seoul, Korea.
Ann Rehabil Med. 2016 Feb;40(1):168-71. doi: 10.5535/arm.2016.40.1.168. Epub 2016 Feb 26.
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.
我们报告一名57岁男性，患有双侧第九和第十颅神经麻痹，表现为严重吞咽困难。轻度头部受伤后，患者主诉吞咽困难。体格检查显示舌运动正常，无悬雍垂偏斜。颈椎X线检查结果为阴性，但脑部计算机断层扫描显示双侧颈静脉孔颅骨骨折。喉镜检查显示双侧声带麻痹。在电视荧光吞咽造影研究中，会厌谷和梨状窦残留食物残渣，咽和喉运动减少。肌电图证实双侧喉上神经和喉返神经病变。
