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Traumatic Lesions of the Cranial Nerves

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The Cranial Nerves in Neurology
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Abstract

Head trauma is an important cause of cranial nerve lesions. It may cause individual or multiple cranial nerve lesions. The extent of the lesion is usually related to the intensity and the mechanism of the impact.

This chapter reviews traumatic lesions in each cranial nerve, including specific clinical features, electrodiagnosis and imaging data, prognosis, and therapeutic options.

Authors of this chapter: Tudor Lupescu and Doriana Lupescu.

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References

  1. Keane JR, Baloh RW. Post-traumatic cranial neuropathies. In: Evans RW, editor. The neurology of trauma. Philadelphia: Saunders; 1992. p. 849–68.

    Google Scholar 

  2. Huckhagel T, Riedel C, Rohde V. Cranial nerve injuries in patients with moderate to severe head trauma—analysis of 91196 patients from Trauma Register DGUÒ between 2008 and 2017. Clin Neurol Neurosurg. 2022;212:107089.

    Article  CAS  PubMed  Google Scholar 

  3. Coello AF, Canals AG, Gonzalez JM. Cranial nerve injury after minor head trauma. J Neurosurg. 2010;113:547–55.

    Article  PubMed  Google Scholar 

  4. Tay A, Zuniga G. Clinical characteristics of trigeminal nerve injury referrals to a university center. Int J Oral Maxillofac Surg. 2007;36:922–7.

    Article  CAS  PubMed  Google Scholar 

  5. Bhatoe HS. Trauma to the cranial nerves. Indian J Neurotrauma. 2007;4(2):89–100.

    Article  Google Scholar 

  6. Jin H, Wang S, Hou L, Pan C, Li B, Wang H. Clinical treatment of traumatic brain injury complicated by cranial nerve injury. Injury. 2010;41:918–23.

    Article  PubMed  Google Scholar 

  7. Dubal PM, Svider PF, Gupta A, Eloy JA. Injuries of the cranial nerves. In: Nerves and nerve injuries, vol. 2. Elsevier Ltd.; 2015. p. 459–60.

    Google Scholar 

  8. Gross CE, DeKock JR, Panje WR. Evidence for orbital deformity that may contribute to monocular blindness following minor frontal head trauma. J Neurosurg. 1981;55:963–6.

    Article  CAS  PubMed  Google Scholar 

  9. Mahapatra AK, Tandon DA. A prospective study of 250 patients with optic nerve injury. In: Samii M, editor. Skull base: anatomy, radiology and management. Basel: S Karger; 1994. p. 305–9.

    Google Scholar 

  10. Murari G, Duraipandi K. Cranial nerve injuries in adult faciomaxillary trauma: prospective study in a tertiary referral centre. Int J Otorhinolaryngol Head Neck Surg. 2019;5(5):1264–9.

    Article  Google Scholar 

  11. Memon MY, Paine KWE. Direct injury of the oculomotor nerve in craniocerebral trauma. J Neurosurg. 1971;35:461–4.

    Article  CAS  PubMed  Google Scholar 

  12. Walsh FB. Third nerve regeneration. Br J Ophthalmol. 1957;41:577–98.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. Arias MJ. Bilateral traumatic abducens nerve palsy without skull fracture and with cervical spine fracture: case report and review of literature. Neurosurgery. 1985;16:232–4.

    Article  CAS  PubMed  Google Scholar 

  14. Kline LB, Demeter JL, Tavakoli M. Disorders of the fourth cranial nerve. J Neuro-Oncol. 2021;41(2):176–93.

    Google Scholar 

  15. Patel P, Kalyanaraman S, Reginal J. Post-traumatic cranial nerve injury. Indian J Neurotrauma. 2005;2(1):27–32.

    Article  Google Scholar 

  16. Sydnor CF, Seaber JH, Buckley E. Traumatic superior oblique palsies. Ophthalmology. 1982;89:134–8.

    Article  CAS  PubMed  Google Scholar 

  17. Kim HJ, Kim H, Choi JY. Etiologic distribution of isolated trochlear palsy: analysis of 1020 patients and literature review. Eur J Neurol. 2022;29(12):3658–65.

    Article  PubMed  Google Scholar 

  18. Roofe SB, Kolb CM, Seibert J. Cranial nerve injuries (Chap 18). In: Brennan JA, Holt GR, Thomas RW, editors. Otorlaryngology/head and neck surgery combat casualty care in operation Iraqi freedom and operation enduring freedom. Fort Sam Houston, TX: Borden Institute; 2015. p. 214–7.

    Google Scholar 

  19. Becker M, Kohler R, Delavelle J. Pathology of the trigeminal nerve. Neuroimaging Clin N Am. 2008;18:283–307.

    Article  PubMed  Google Scholar 

  20. Bagheri SC, Meyer RA, Khan HA. Microsurgical repair of peripheral trigeminal nerve injuries from maxillofacial trauma. J Oral Maxillofac Surg. 2009;67:1791–9.

    Article  PubMed  Google Scholar 

  21. Hasso AN, Ledington JA. Traumatic injuries of the temporal bone. Otolaryngol Clin N Am. 1988;21:295–316.

    Article  CAS  Google Scholar 

  22. Coker NJ, Kendall KA, Jenkins HA. Traumatic intratemporal facial nerve injury: management rationale for preservation of function. Otolaryngol Head Neck Surg. 1987;97:262–9.

    Article  CAS  PubMed  Google Scholar 

  23. Kim J, Moon IS, Lee W-S. Effect of delayed decompression after early steroid treatment on facial function of patients with facial paralysis. Acta Otolaryngol (Stockh). 2010;130(1):179–84.

    Article  PubMed  Google Scholar 

  24. Lee PH, Liang CC, Huang SF, Liao HT. The outcome analysis of traumatic facial nerve palsy treated with systemic steroid therapy. J Craniofac Surg. 2018;29(7):1842–7.

    Article  PubMed  Google Scholar 

  25. Siang PG, Ying XT, Dayang Suhana AM, Ing PT. Surgical outcomes of transmastoid facial nerve decompression: preliminary data from a Malaysian tertiary hospital from 2013–2018. Med J Malaysia. 2020;75(3):281–5.

    CAS  PubMed  Google Scholar 

  26. Lew HL, Jerger JF, Guillory SB, Henry JA. Auditory dysfunction in traumatic brain injury. J Rehab Res Dev. 2007;44(7):921–8.

    Article  Google Scholar 

  27. Aziz KM, Alexander KY, Douglas C, Raymond FS. Chapter 204: Management of cranial nerve injuries. In: Schmidek & Sweet operative neurosurgical techniques—indications, methods, and results. 6th ed. Elsevier/Saunders; 2012. p. 2329–38.

    Chapter  Google Scholar 

  28. Eibling DE, Boyd EM. Rehabilitation of lower cranial nerve deficits. Otolaryngol Clin N Am. 1997;30(5):865–75.

    Article  CAS  Google Scholar 

  29. Legros B, Fournier P, Chiaroni P. Basal fracture of the skull and lower cranial nerves palsy: four case reports including two fractures of the occipital condyle—a literature review. J Trauma. 2000;48(2):342–8.

    Article  CAS  PubMed  Google Scholar 

  30. Kim DH, Cho YJ, Tiel RL, et al. Surgical outcomes of 111 spinal accessory nerve injuries. Neurosurgery. 2003;53(5):1106–12.

    Article  PubMed  Google Scholar 

  31. Delamont RS, Boyle RS. Traumatic hypoglossal nerve palsy. Clin Exp Neurol. 1989;26:239–41.

    CAS  PubMed  Google Scholar 

  32. Keane JR. Twelfth-nerve palsy. Analysis of 100 cases. Arch Neurol. 1996;53:561–6.

    Article  CAS  PubMed  Google Scholar 

  33. Avitia S, Osborne RF. Surgical management of iatrogenic hypoglossal nerve injury. Ear Nose Throat J. 2008;87:672–6.

    Article  PubMed  Google Scholar 

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Lupescu, T., Lupescu, D. (2023). Traumatic Lesions of the Cranial Nerves. In: The Cranial Nerves in Neurology. Springer, Cham. https://doi.org/10.1007/978-3-031-43081-7_32

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  • DOI: https://doi.org/10.1007/978-3-031-43081-7_32

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-43080-0

  • Online ISBN: 978-3-031-43081-7

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