Vadivelu Sudhakar, Masood Zihan, Krueger Bryan, Marciano Rudy, Chen David, Houseman Cliff, Insinga Salvatore
Division of Pediatric Neurosurgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Department of Neurosurgery, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
J Craniovertebr Junction Spine. 2017 Apr-Jun;8(2):149-152. doi: 10.4103/jcvjs.JCVJS_34_17.
The authors present the case of a patient that demonstrates resolution of delayed onset hypoglossal nerve palsy (HNP) subsequent to occipital condyle fracture following a motor vehicle accident. Decompression of the hypoglossal nerve and craniocervical fixation led to satisfactory long-term (>5 years) outcome. There is a scarcity of literature in recognizing HNPs following trauma and a lack of pathophysiological understanding to both a delayed presentation and to resolution versus persistence. This is the first report demonstrating long-term resolution of hypoglossal nerve injury following trauma to the craniocervical junction.
作者报告了一例患者的病例，该患者在机动车事故导致枕髁骨折后出现迟发性舌下神经麻痹（HNP），随后症状得到缓解。舌下神经减压和颅颈固定术带来了令人满意的长期（>5年）结果。关于创伤后舌下神经麻痹的文献较少，对其延迟出现以及缓解与持续存在的病理生理学缺乏了解。这是第一份证明颅颈交界处创伤后舌下神经损伤长期缓解的报告。
