Isolated unilateral vocal fold palsy following skull base fracture

A case report

Marina Mat Baki, N. M. Hazleigh, Y. K. Thean, Abdullah Sani Mohamed

Research output: Contribution to journalArticle

Abstract

Isolated lower cranial nerve (CN) palsy affecting the CN X resulting from a skull base fracture is very rare. The clinical manifestation and natural history is related closely to the complex anatomy of this region and mechanism of injury. Here, we report a case of a 54 year-old man who presented with a delayed onset of dysphonia and dysphagia with aspiration following a closed head injury sustained from a motor vehicle accident. Injection laryngoplasty was implemented to alleviate symptoms of his CN X palsy, which eventually almost completely resolved. High index of suspicion should be maintained when investigating possible skull base fractures, especially with a suggestive clinical presentation of lower CN palsies affecting one or all the lower CNs. Delayed onset of these CN palsies are likely to have more favourable outcomes.

Original languageEnglish
Pages (from-to)95-98
Number of pages4
JournalInternational Medical Journal Malaysia
Volume17
Issue number3
Publication statusPublished - 1 Dec 2018

Fingerprint

Skull Fractures
Cranial Nerve Diseases
Vocal Cord Paralysis
Skull Base
Vagus Nerve
Laryngoplasty
Closed Head Injuries
Dysphonia
Motor Vehicles
Deglutition Disorders
Natural History
Accidents
Anatomy
Injections
Wounds and Injuries

Keywords

  • Cranial nerve
  • Skull base fracture
  • Vocal fold palsy

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Isolated unilateral vocal fold palsy following skull base fracture : A case report. / Mat Baki, Marina; Hazleigh, N. M.; Thean, Y. K.; Mohamed, Abdullah Sani.

In: International Medical Journal Malaysia, Vol. 17, No. 3, 01.12.2018, p. 95-98.

Research output: Contribution to journalArticle

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