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

doi:10.1016/j.surneu.2005.04.032

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

Research output: Contribution to journal › Article › Academic › peer-review

6 Citations (Scopus)

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 language	English
Pages (from-to)	525-32, discussion 532-3
Journal	Surgical Neurology
Volume	64
Issue number	6
DOIs	https://doi.org/10.1016/j.surneu.2005.04.032
Publication status	Published - Dec 2005
Externally published	Yes

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10.1016/j.surneu.2005.04.032

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

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.",

author = "Krista Kuitwaard and Vandertop, {William P}",

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AU - Kuitwaard, Krista

AU - Vandertop, William P

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N2 - 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.

AB - 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.

U2 - 10.1016/j.surneu.2005.04.032

DO - 10.1016/j.surneu.2005.04.032

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SP - 525-32, discussion 532-3

JO - Surgical Neurology

JF - Surgical Neurology

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ER -

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

Abstract

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