title: Collet-sicard syndrome in a patient with jefferson fracture.
abstract: Collet-Sicard syndrome is a rare condition characterized by the unilateral paralysis of the 9th through 12th cranial nerves. We describe a case of a 46-year-old man who presented with dysphagia after a falling down injury. Computed tomography demonstrated burst fracture of the atlas. Physical examination revealed decreased gag reflex on the left side, decreased laryngeal elevation, tongue deviation to the left side, and atrophy of the left trapezius muscle. Videofluoroscopic swallowing study (VFSS) revealed frequent aspirations of a massive amount of thick liquid and incomplete opening of the upper esophageal sphincter during the pharyngeal phase. We report a rare case of Collet-Sicard syndrome caused by Jefferson fracture.
authors.affiliation: Department of Rehabilitation Medicine, College of Medicine, Dankook University, Cheonan 330-715, Korea.
authors.forename: Hee Chung
authors.initials: HC
authors.lastname: Kwon
authors.forename: Dae Kyung
authors.initials: DK
authors.lastname: Cho
authors.forename: Yoon Young
authors.initials: YY
authors.lastname: Jang
authors.forename: Seong Jae
authors.initials: SJ
authors.lastname: Lee
authors.forename: Jung Keun
authors.initials: JK
authors.lastname: Hyun
authors.forename: Tae Uk
authors.initials: TU
authors.lastname: Kim