Journal of Craniovertebral Junction and Spine

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


Sudhakar Vadivelu1, Zihan Masood2, Bryan Krueger1, Rudy Marciano3, David Chen3, Cliff Houseman3, Salvatore Insinga3 
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

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.


How to cite this article:
Vadivelu S, Masood Z, Krueger B, Marciano R, Chen D, Houseman C, Insinga S. Long-term resolution of delayed onset hypoglossal nerve palsy following occipital condyle fracture: Case report and review of the literature.J Craniovert Jun Spine 2017;8:149-152


How to cite this URL:
Vadivelu S, Masood Z, Krueger B, Marciano R, Chen D, Houseman C, Insinga S. Long-term resolution of delayed onset hypoglossal nerve palsy following occipital condyle fracture: Case report and review of the literature. J Craniovert Jun Spine [serial online] 2017 [cited 2020 Jul 5 ];8:149-152
Available from: http://www.jcvjs.com/article.asp?issn=0974-8237;year=2017;volume=8;issue=2;spage=149;epage=152;aulast=Vadivelu;type=0