A patient with an odontoid fracture and atrophy of the tongue: a case report and systematic review of the literature

Krista Kuitwaard, William P Vandertop

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Abstract

BACKGROUND: Traumatic hypoglossal nerve palsy is a rare entity and has rarely been described in association with an odontoid fracture.

CASE DESCRIPTION: We present a patient with a posttraumatic odontoid fracture who developed selective weakness of his arms and a unilateral hypoglossal nerve palsy. A systematic review of the literature is presented, and hypothetical causes for the injury are discussed.

CONCLUSION: Bell's cruciate paralysis and central cord syndrome are probably expressions of the same mechanism rather than 2 separate entities based on a preferential damage of pyramidal crossing arm fibers. C2 fractures with concomitant lower cranial nerve injury are relatively rare and have a reasonably good outcome, especially when unilateral.

Original languageEnglish
Pages (from-to)525-32, discussion 532-3
JournalSurgical Neurology
Volume64
Issue number6
DOIs
Publication statusPublished - Dec 2005

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