Isolated Unilateral Vocal Fold Palsy following Skull Base Fracture: A Case Report

Autor:	Thean Yk, Marina Mb, A Sani, Hazleigh Nm
Rok vydání:	2020
Předmět:	medicine.medical_specialty Palsy business.industry General Medicine Clinical manifestation medicine.disease Vocal fold palsy Dysphagia Surgery Skull Skull base fracture medicine.anatomical_structure Closed head injury medicine medicine.symptom Presentation (obstetrics) business
Zdroj:	IIUM Medical Journal Malaysia. 17
ISSN:	2735-2285 1823-4631
DOI:	10.31436/imjm.v17i3.240
Popis:	Isolated lower cranial nerve (CN) palsy affecting the CN X resulting from a skull base fracture is very rare. The clinical manifestation and natural history is related closely to the complex anatomy of this region and mechanism of injury. Here, we report a case of a 54 year-old man who presented with a delayed onset of dysphonia and dysphagia with aspiration following a closed head injury sustained from a motor vehicle accident. Injection laryngoplasty was implemented to alleviate symptoms of his CN X palsy, which eventually almost completely resolved. High index of suspicion should be maintained when investigating possible skull base fractures, especially with a suggestive clinical presentation of lower CN palsies affecting one or all the lower CNs. Delayed onset of these CN palsies are likely to have more favourable outcomes.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::6df1c59be845684d7cd5e3558bc8e064 https://doi.org/10.31436/imjm.v17i3.240 Zobrazit plný text záznamu