Wednesday, March 12, 2008

Collet - Sicard syndrome

Overview said, occipital condyle-jugular foramen Junction syndrome; Parotid posterior fossa syndrome; Half tongue paralysis, laryngeal pharynx shoulder syndrome. Cause pathogenesis tumor, vascular disease, trauma, inflammatory diseases such as by the jugular foramen to the occipital condyle of the former extending to the side of sexual Glossopharyngeal, Vagus, the Deputy, the hypoglossal nerve paralysis around. Clinical manifestations hoarseness, Dysphagia, tongue after 1 / 3 of taste; Ipsilateral soft palate palsy; Ipsilateral muscle atrophy and paralysis; ipsilateral trapezius and sternocleidomastoid muscle atrophy and paralysis. Visibility sometimes spastic cough, wheezing like difficulty in breathing, excessive saliva. Differential diagnosis (1) of glomus jugulare tumors (tumor of glomus jugulare) 50% occurred in middle ear under the wall, tumor can be damaged by rocks inner ear bone lost upward submerged posterior fossa, there Ⅶ Ⅷ, Ⅸ, Ⅹ, Ⅺ, Ⅻ cranial nerve palsy symptoms, there is tinnitus, deafness and ears flow concentration, and other symptoms. The disease onset age of 40 ~ 60 years old, female styles. (2) tumors of the skull base (basicranial tumor) found in sphenoid, temporal bone, orbital, middle cranial fossa meningioma, near the petrous bone sarcomas totally incomplete or hemi-skull base nerve damage. that the unilateral skull base syndrome (Garrcin's syndrome). Cranial nerve palsy were sexual side of the sexual. Extracranial tumors such as maxillary sinus, nasal cavity, nasopharynx to the skull base tumors spread of the existence of sexual side of the skull base symptoms of nerve damage. (3) gray brainstem encephalitis (brain stem poliomyelitis) not only cause the end of cranial nerve palsy outside there are other cranial nerve palsy. Bilateral appearing rarely occurred in the side, in the case of a side often accompanied by long beam with the levy. (4) brainstem vascular lesions may also appeared side of the majority of cranial nerve palsy, but faster onset, was not sexual. improving as a trend, cross-palsy levy. (5) the syndrome and other vulnerable groups tail caused cranial nerve palsy syndrome confusion as Jackson's syndrome ( Vagal, Deputy, the hypoglossal nerve disease), Avellis's syndrome and Schmidt's syndrome (vagus, Deputy nerve damage). These were symptoms of the syndrome to the side of laryngeal paralysis.

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