Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
권호 표지
DOI QR코드

DOI QR Code

Sixth and Twelfth Cranial Nerve Palsies Following Basal Skull Fracture Involving Clivus and Occipital Condyle

  • Kim, Sung-Hoon (Department of Rehabilitation, Wonju College of Medicine, Younsei University) ;
  • Kim, Seok-Won (Department of Neurosurgery, School of Medicine, Chosun University)
  • Received : 2011.11.30
  • Accepted : 2012.05.15
  • Published : 2012.05.28
Download PDF
⟨ Previous Next ⟩

Abstract

Oblique basal skull fractures resulting from lateral crushing injuries involving both clivus and occipital condyle are rare due to their deep locations. Furthermore, these fractures may present clinically with multiple cranial nerve injuries because neural exit routes are restricted in this intricate region. The authors present an interesting case of basal skull fractures involving the clivus and occipital condyle and presenting with sixth and contralateral twelfth cranial nerve deficits. Clinico-anatomic correlations and the courses of cranial nerve deficits are reiterated. To the authors' knowledge, no other report has been previously issued on concomitant sixth and contralateral twelfth cranial nerve palsies following closed head injury.

Keywords

References

  1. Anderson PA, Montesano PX : Morphology and treatment of occipital condyle fractures. Spine (Phila Pa 1976) 13 : 731-736, 1988 https://doi.org/10.1097/00007632-198807000-00004
  2. Dagi TF, George ED : Surgical management of cranial cerebrospinal fluid fistulas in Schnideck HH, Sweet WH (eds) : Operative Neurosurgileakscal Techniques. Philadelphia : WB Saunders, 1995, pp117-131
  3. Dhaliwal A, West AL, Trobe JD, Musch DC : Third, fourth, and sixth cranial nerve palsies following closed head injury. J Neuroophthalmol 26 : 4-10, 2006 https://doi.org/10.1097/01.wno.0000204661.48806.1d
  4. Jennett B, Teasdale G, Fry J, Braakman R, Minderhoud J, Heiden J, et al. : Treatment for severe head injury. J Neurol Neurosurg Psychiatry 43 : 289-295, 1980 https://doi.org/10.1136/jnnp.43.4.289
  5. Kerman M, Cirak B, Dagtekin A : Management of skull base fractures. Neurosurg Q 12 : 23-41, 2002 https://doi.org/10.1097/00013414-200203000-00003
  6. Khan N, Zumstein B : Transverse clivus fracture : case presentation and Kimsignificance of clinico-anatomic correlations. Surg Neurol 54 : 171-177, 2000 https://doi.org/10.1016/S0090-3019(00)00284-6
  7. Lee YS, Song SH, Kim SH, Kim KT, Kim Y : Clinical analysis of basal skull fractures. J Korean Neurosurg Soc 23 : 1038-1046, 1994
  8. Menkü A, Koç RK, Tucer B, Durak AC, Akdemir H : Clivus fractures : clinical presentations and courses. Neurosurg Rev 27 : 194-198, 2004
  9. Ommaya AK : Cerebrospinal fluid fistula and pneumocephalus in Wilkins RH, Rengachary SS (eds) : Neurosurgery, ed 2. New York : McGraw-Hill, 1996, Vol 2, pp2773-2782

Cited by

  1. Clival fractures in a Level I trauma center vol.122, pp.1, 2015, https://doi.org/10.3171/2014.9.jns14245