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Clinical Challenge
October 24, 2019

An Unusual Posttraumatic Dysphagia With Special Reference to Cerebellopontine Angle

Author Affiliations
  • 1Department of Neurosurgery, Sainte-Anne Military Teaching Hospital, Toulon, France
  • 2Department of ENT, Sainte-Anne Military Teaching Hospital, Toulon, France
JAMA Otolaryngol Head Neck Surg. 2020;146(1):73-74. doi:10.1001/jamaoto.2019.3025

A woman in her 30s with a medical history of epilepsy and alcohol use disorder who was taking lamotrigine presented with severe head trauma. Her Glasgow Coma Score (GCS) was 11 M5V4E2 on admission, and a computed tomographic (CT) scan showed a right frontal epidural hematoma with a maximum thickness of 19 mm and a volume of 30 cm3 (Figure 1A). The hematoma was evacuated by neurosurgery, and her GCS improved to 14 postoperatively. On postoperative day 2, she developed isolated dysphagia and dysphonia. Laryngoscopic examination revealed right vocal cord paralysis (Figure 1B).

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