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Bilateral hypoglossal nerve injury with occipital condylar fracture
1Division of Neurosurgery, Montreal General Hospital, McGill University, Quebec, Canada.
Background:
A 20-year-old woman with a right occipital condylar fracture and bilateral hypoglossal nerve injury is presented. Only 17 cases of condylar fracture have been reported in the literature.
Methods:
The patient was evaluated with plain films, coronal and axial cut CT, and MRI.
Results:
MRI showed a severely distorted but otherwise normal medulla and a displaced condylar bone fragment.
Conclusion:
Condylar fracture may cause twelfth nerve palsy by injuring the central or peripheral nerve.
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