Year: 2025
Type: article
Study design: Case Report
Abstract: Lower cranial nerve palsy is a rare condition, most commonly caused by malignant skull base lesions or internal carotid artery dissection, and only rarely resulting from trauma. We report two cases of road traffic accident victims presenting with lower cranial nerve palsy involving cranial nerves IX, X, and XI. Both patients had similar clinical complaints. The most important findings were a dislocated occipital condyle fracture and suspected associated soft tissue injury. Both were treated conservatively with a rigid cervical collar. A nasogastric tube was required for the first patient during the initial recovery period due to severe dysphagia, while the second patient tolerated oral intake and did not require enteral feeding. Both patients showed gradual improvement in symptoms during hospitalization and follow-up. These injuries, with their often subtle clinical presentation, may be easily overlooked and require prompt detection to prevent complications.
Source: Frontiers in Surgery
Authors: Shubham Gupta, Rakesh Gupta, Zafar Sheikh, Abhijeet Bele
Language: English
Subfield: Neurology
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $3,801
OpenAlex ID: W4415685627