Dysphagia associated with Jugular Foramen Syndrome due to Traumatic Brain Injury.

, Park, Jae Heung; , Park, In sun; , Ha, Jung sik; , Sim, Jae hong; , Sul, Sang young

Case Report

Journal of the Korean Academy of Rehabilitation Medicine 2001;25(1):163-167.

Park, Jae Heung , Park, In sun , Ha, Jung sik , Sim, Jae hong , Sul, Sang young

¹Department of Rehabilitation Medicine, Pusan National University College of Medicine.
²Department of Rehabilitation Medicine, Inje University College of Medicine.
³Department of Neurosurgery, Inje University College of Medicine.
⁴Department of Internal Medicine, Inje University College of Medicine.

외상성 뇌손상 환자에서 발생된 Jugular Foramen Syndrome으로 인한 연하 곤란증 ⁣증례 보고⁣

박재흥, 박인선¹, 하정식¹, 심재홍², 설상영³

부산대학교병원 재활의학과, 인제대학교병원 ¹재활의학과, ²신경외과, ³내과

Abstract

Objective
To present one case of dysphagia associated with jugular foramen syndrome (Vernet syndrome) by trauma. The jugular foramen syndrome refers to paralysis of the IX, X and XI cranial nerves. Dysphagia due to jugular foramen syndorme without pseudobular palsy is rare in traumatic brain injury.

Case Summary: A 16-year-old boy with the left occipital skull fracture and skull base fracture was not able to take any food by mouth. There was no other significant symptom without dysphagia. Physical examination, laryngoscopic examination and electromyography revealed paralysis of the left IX, X and XI cranial nerves. Videofluoroscopic examination demonstrated atonic ballooned pyriformis sinus and closed upper esophageal sphincter. Brain CT and MRI showed fracture line in the left jugular foramen without brain stem or diffuse cortical lesion. Feeding gastrostomy was performed.

Conclusion
We report an unusual case of dysphagia due to jugular foramen syndrome in traumatic brain injury patient.

Key Words: Jugular foramen syndrome, Dysphagia, Traumatic brain injury