title: Bilateral Cranial IX and X Nerve Palsies After Mild Traumatic Brain Injury.
abstract: We report a 57-year-old man with bilateral cranial nerve IX and X palsies who presented with severe dysphagia. After a mild head injury, the patient complained of difficult swallowing. Physical examination revealed normal tongue motion and no uvular deviation. Cervical X-ray findings were negative, but a brain computed tomography revealed a skull fracture involving bilateral jugular foramen. Laryngoscopy indicated bilateral vocal cord palsy. In a videofluoroscopic swallowing study, food residue remained in the vallecula and pyriform sinus, and there was reduced motion of the pharynx and larynx. Electromyography confirmed bilateral superior and recurrent laryngeal neuropathy.
authors.affiliation: Department of Rehabilitation Medicine, Kyung Hee University, Seoul, Korea.
authors.forename: Seung Don
authors.initials: SD
authors.lastname: Yoo
authors.affiliation: Department of Rehabilitation Medicine, Kyung Hee University, Seoul, Korea.
authors.forename: Dong Hwan
authors.initials: DH
authors.lastname: Kim
authors.affiliation: Department of Rehabilitation Medicine, Kyung Hee University, Seoul, Korea.
authors.forename: Seung Ah
authors.initials: SA
authors.lastname: Lee
authors.affiliation: Department of Rehabilitation Medicine, Kyung Hee University, Seoul, Korea.
authors.forename: Hye In
authors.initials: HI
authors.lastname: Joo
authors.affiliation: Department of Rehabilitation Medicine, Kyung Hee University, Seoul, Korea.
authors.forename: Jin Ah
authors.initials: JA
authors.lastname: Yeo
authors.affiliation: Department of Rehabilitation Medicine, Kyung Hee University, Seoul, Korea.
authors.forename: Sung Joon
authors.initials: SJ
authors.lastname: Chung
keywords: Basilar skull fracture; Cranial nerve diseases