C1 Lateral Mass Screw Migration Causing a Delayed Unilateral Hypoglossal Nerve Lesion: A Case Report.
Publication/Presentation Date
1-1-2016
Abstract
CASE: We present the case of a fifty-eight-year-old woman who was initially treated with a C1 to C7 anterior-posterior cervical decompression and fusion for an epidural abscess and returned two years postoperatively with four days of progressive dysphagia and tongue deviation. She was diagnosed with a unilateral hypoglossal nerve (cranial nerve XII) palsy secondary to compression from a C1 lateral mass screw.
CONCLUSION: This is the first reported case that we are aware of describing a delayed cranial nerve palsy secondary to cutout and cephalad migration of a C1 lateral mass screw resulting in a neurologic deficit due to impingement on the hypoglossal nerve.
Volume
6
Issue
1
First Page
15
Last Page
15
ISSN
2160-3251
Published In/Presented At
Hollern, D., Shafi, K., Miller, A., Woods, B., Heller, J., & Vaccaro, A. (2016). C1 Lateral Mass Screw Migration Causing a Delayed Unilateral Hypoglossal Nerve Lesion: A Case Report. JBJS case connector, 6(1), e15. https://doi.org/10.2106/JBJS.CC.O.00168
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
29252721
Department(s)
Administration and Leadership
Document Type
Article