Delayed Diagnosis of Temporomandibular Joint Dislocation in Severe Stroke Patients.
| Autor: | Tanaka T; Department of Neurosurgery, International University of Health and Welfare, Narita Hospital, Narita, JPN., Momozaki N; Department of Neurosurgery, Imari Arita Kyoritsu Hospital, Arita, JPN., Honda E; Department of Neurology, Shiroishi Kyoritsu Hospital, Shiroishi, JPN., Matsuno A; Department of Neurosurgery, International University of Health and Welfare, Narita Hospital, Narita, JPN. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2024 Sep 07; Vol. 16 (9), pp. e68896. Date of Electronic Publication: 2024 Sep 07 (Print Publication: 2024). |
| DOI: | 10.7759/cureus.68896 |
| Abstrakt: | A 79-year-old woman with a history of left cerebral infarction developed altered consciousness and left hemiplegia. CT of the head revealed a putaminal hemorrhage. She underwent tracheal intubation followed by a tracheostomy for long-term airway management. Despite improved consciousness, the patient continued to experience dysphagia and was fed via a nasal tube. Subsequent axial CT and 3D CT scans revealed an empty glenoid fossa in both temporomandibular joints (TMJs) with the condyles positioned anteriorly, consistent with chronic bilateral anterior TMJ dislocation. After an unsuccessful attempt at manual reduction, closed manual reduction was successfully performed under general anesthesia with muscle relaxants, allowing the patient to resume oral feeding. This case underscores the importance of considering TMJ dislocation in stroke patients with persistent dysphagia. Early diagnosis and timely intervention are crucial for improving patient outcomes in such cases. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Tanaka et al.) |
| Databáze: | MEDLINE |
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