An important complication of upper cervical spine fracture: a case report

A case report is presented of a patient who sustained a high cervical spine fracture, the possible mechanisms of injury and details of the fracture are discussed. The patient developed bilateral vagal nerve palsies 48 h after the accident. This complication was only recognized after dysphagia and an...

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Published in:Archives of emergency medicine 1993-09, Vol.10 (3), p.235-238
Main Authors: Hodgkinson, D W, Bamford, D J, Driscoll, P
Format: Article
Language:English
Subjects:
Biological and medical sciences
Cervical Vertebrae - diagnostic imaging
Cervical Vertebrae - injuries
Deglutition Disorders - etiology
Emergency Service, Hospital
Enteral Nutrition
Humans
Injuries of the limb. Injuries of the spine
Male
Medical sciences
Middle Aged
Paralysis - etiology
Radiography
Spinal Fractures - complications
Spinal Fractures - diagnostic imaging
Traumas. Diseases due to physical agents
Vagus Nerve
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container_end_page 238
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container_title Archives of emergency medicine
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creator Hodgkinson, D W
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Driscoll, P
description A case report is presented of a patient who sustained a high cervical spine fracture, the possible mechanisms of injury and details of the fracture are discussed. The patient developed bilateral vagal nerve palsies 48 h after the accident. This complication was only recognized after dysphagia and an aspiration pneumonia developed. The complication of aspiration pneumonia was preventable. Meticulous and repeated examination of the cranial nerve function in this type of injury is recommended. Normal feeding should commence only when the cranial nerve function has been shown to be normal after repeated examination.
doi_str_mv 10.1136/emj.10.3.235
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The patient developed bilateral vagal nerve palsies 48 h after the accident. This complication was only recognized after dysphagia and an aspiration pneumonia developed. The complication of aspiration pneumonia was preventable. Meticulous and repeated examination of the cranial nerve function in this type of injury is recommended. Normal feeding should commence only when the cranial nerve function has been shown to be normal after repeated examination.</description><identifier>ISSN: 0264-4924</identifier><identifier>ISSN: 1472-0205</identifier><identifier>EISSN: 1472-0213</identifier><identifier>DOI: 10.1136/emj.10.3.235</identifier><identifier>PMID: 8216602</identifier><identifier>CODEN: AEMEE4</identifier><language>eng</language><publisher>Oxford: BMJ Publishing Group Ltd and the British Association for Accident &amp; Emergency Medicine</publisher><subject>Biological and medical sciences ; Cervical Vertebrae - diagnostic imaging ; Cervical Vertebrae - injuries ; Deglutition Disorders - etiology ; Emergency Service, Hospital ; Enteral Nutrition ; Humans ; Injuries of the limb. Injuries of the spine ; Male ; Medical sciences ; Middle Aged ; Paralysis - etiology ; Radiography ; Spinal Fractures - complications ; Spinal Fractures - diagnostic imaging ; Traumas. 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1472-0213
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subjects Biological and medical sciences
Cervical Vertebrae - diagnostic imaging
Cervical Vertebrae - injuries
Deglutition Disorders - etiology
Emergency Service, Hospital
Enteral Nutrition
Humans
Injuries of the limb. Injuries of the spine
Male
Medical sciences
Middle Aged
Paralysis - etiology
Radiography
Spinal Fractures - complications
Spinal Fractures - diagnostic imaging
Traumas. Diseases due to physical agents
Vagus Nerve
title An important complication of upper cervical spine fracture: a case report
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