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Journal of Craniovertebral Junction and Spine
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CASE REPORT
Year : 2017  |  Volume : 8  |  Issue : 2  |  Page : 149-152

Long-term resolution of delayed onset hypoglossal nerve palsy following occipital condyle fracture: Case report and review of the literature


1 Division of Pediatric Neurosurgery, Cincinnati Children's Hospital Medical Center; Department of Neurosurgery, University of Cincinnati College of Medicine, Cincinnati, OH, USA
2 Division of Pediatric Neurosurgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA
3 Department of Neurosurgery, Hofstra North Shore-LIJ School of Medicine, Manhasset, NY, USA

Correspondence Address:
Sudhakar Vadivelu
Cerebrovascular and Skull Base Center, Cincinnati Children's Hospital Medical Center, 3333 Burnett Ave., Cincinnati, OH 45229
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jcvjs.JCVJS_34_17

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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.


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