A case report of “minor” trauma leading to a major disability: whiplash-associated dysphagia, dysphonia, and dysgeusia
“Whiplash”-type injuries are commonly encountered and often cause neck pain, neck stiffness, and headaches. However, these injuries can have rare and poorly recognized complications, such as the development of a prevertebral hematoma leading to acute respiratory failure in the emergency department,...
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| Format: | Article |
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Korean Society of Traumatology
2022-06-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://jtraumainj.org/upload/pdf/jti-2021-0043.pdf |
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| author | Ami Schattner Yair Glick |
| author_facet | Ami Schattner Yair Glick |
| author_sort | Ami Schattner |
| collection | DOAJ |
| description | “Whiplash”-type injuries are commonly encountered and often cause neck pain, neck stiffness, and headaches. However, these injuries can have rare and poorly recognized complications, such as the development of a prevertebral hematoma leading to acute respiratory failure in the emergency department, followed by severe, life-threatening dysphagia and recurrent aspirations. In the patient described herein, a whiplash injury was accompanied by vocal cord paralysis and dysphonia (vagus nerve), dysgeusia (glossopharyngeal nerve, vagus nerve), and upper esophageal spasm (cricopharyngeal muscle, vagus nerve). It is unlikely that this was a complication of cervical fusion surgery. Instead, a combined stretch-induced lower cranial nerve injury, possibly on the exit of these nerves through the jugular foramen, seems to be a likely, but underappreciated mechanism occurring in rare instances of whiplash injuries. |
| format | Article |
| id | doaj-art-e57fe6f0a74c4020a8bac2a072ad1ba9 |
| institution | Kabale University |
| issn | 2799-4317 2287-1683 |
| language | English |
| publishDate | 2022-06-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-e57fe6f0a74c4020a8bac2a072ad1ba92025-01-16T04:51:10ZengKorean Society of TraumatologyJournal of Trauma and Injury2799-43172287-16832022-06-0135211511710.20408/jti.2021.00431124A case report of “minor” trauma leading to a major disability: whiplash-associated dysphagia, dysphonia, and dysgeusiaAmi Schattner0Yair Glick1 The Faculty of Medicine, Hebrew University and Hadassah Medical School, Jerusalem, Israel Department of Imaging, Sanz Medical Centre, Ariel University, Netanya, Israel“Whiplash”-type injuries are commonly encountered and often cause neck pain, neck stiffness, and headaches. However, these injuries can have rare and poorly recognized complications, such as the development of a prevertebral hematoma leading to acute respiratory failure in the emergency department, followed by severe, life-threatening dysphagia and recurrent aspirations. In the patient described herein, a whiplash injury was accompanied by vocal cord paralysis and dysphonia (vagus nerve), dysgeusia (glossopharyngeal nerve, vagus nerve), and upper esophageal spasm (cricopharyngeal muscle, vagus nerve). It is unlikely that this was a complication of cervical fusion surgery. Instead, a combined stretch-induced lower cranial nerve injury, possibly on the exit of these nerves through the jugular foramen, seems to be a likely, but underappreciated mechanism occurring in rare instances of whiplash injuries.http://jtraumainj.org/upload/pdf/jti-2021-0043.pdfwhiplash injuriesoropharyngeal dysphagiacranial nervesdysphoniacase report |
| spellingShingle | Ami Schattner Yair Glick A case report of “minor” trauma leading to a major disability: whiplash-associated dysphagia, dysphonia, and dysgeusia Journal of Trauma and Injury whiplash injuries oropharyngeal dysphagia cranial nerves dysphonia case report |
| title | A case report of “minor” trauma leading to a major disability: whiplash-associated dysphagia, dysphonia, and dysgeusia |
| title_full | A case report of “minor” trauma leading to a major disability: whiplash-associated dysphagia, dysphonia, and dysgeusia |
| title_fullStr | A case report of “minor” trauma leading to a major disability: whiplash-associated dysphagia, dysphonia, and dysgeusia |
| title_full_unstemmed | A case report of “minor” trauma leading to a major disability: whiplash-associated dysphagia, dysphonia, and dysgeusia |
| title_short | A case report of “minor” trauma leading to a major disability: whiplash-associated dysphagia, dysphonia, and dysgeusia |
| title_sort | case report of minor trauma leading to a major disability whiplash associated dysphagia dysphonia and dysgeusia |
| topic | whiplash injuries oropharyngeal dysphagia cranial nerves dysphonia case report |
| url | http://jtraumainj.org/upload/pdf/jti-2021-0043.pdf |
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