{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T03:38:46Z","timestamp":1768275526209,"version":"3.49.0"},"reference-count":22,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>Lower cranial nerve palsies, or Collet-Sicard syndrome, can be caused by many different etiologies including head trauma, basilar occipital fractures, tumors, and interventions. Few reports describe different presentations of this condition, and we present here a case study to increase awareness of and add to the variable spectrum.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Case Description: <\/jats:title>\n<jats:p>A 56-year-old who had been hit while diving was admitted to our department. On examination, he was conscious without any signs of lateralization but presented with severe neck pain. CT brain and cervical spine revealed a C1 fracture with bilateral symmetrical fracture of the anterior and posterior arches (Jefferson\u2019s fracture) and slight bilateral joint dislocation C1-C2 discreetly predominant on the left. One week later, he presented with dysarthria, dysphonia, swallowing disorder, anisocoria, tongue deviation, and palate deviation (XII, IX, and X). CT Angiography showed dissection of the internal carotid artery immediately after the carotid bulb. He has been treated conservatively with curative anticoagulants with stable symptoms. No surgical intervention had been proposed.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>Adding to the literature, delayed Collet-Sicard syndrome and lower cranial affection can be caused by missed carotid wall hematoma following severe craniocervical trauma associated with Jefferson\u2019s fracture.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_375_2021","type":"journal-article","created":{"date-parts":[[2021,7,27]],"date-time":"2021-07-27T07:47:20Z","timestamp":1627372040000},"page":"374","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Delayed Collet-Sicard syndrome after internal carotid dissection and Jefferson fracture. Case report and Review of Literature"],"prefix":"10.25259","volume":"12","author":[{"given":"Talal","family":"Al-Shabibi","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, H\u00f4pitaux Universitaires de Marseille Nord, Aix Marseille University, Marseille, France,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hussein","family":"Hamdi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Tanta University, Tanta, Gharbeya, Egypt."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed","family":"Balaha","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Tanta University, Tanta, Gharbeya, Egypt."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasser","family":"Ghoraba","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Tanta University, Tanta, Gharbeya, Egypt."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean-Marc","family":"Kaya","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, H\u00f4pitaux Universitaires de Marseille Nord, Aix Marseille University, Marseille, France,"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2021,7,27]]},"reference":[{"key":"10.25259\/SNI_375_2021\/ref-1","doi-asserted-by":"crossref","first-page":"588","DOI":"10.1016\/j.neurol.2008.10.005","article-title":"Syndrome de ColletSicard apr\u00e8s dissection carotidienne","volume":"165","author":"Battaglia","year":"2009","journal-title":"Rev Neurol (Paris)"},{"key":"10.25259\/SNI_375_2021\/ref-2","first-page":"121","article-title":"Sur un nouveau syndrome paralytique pharyngolarynge par blessure de guerre","volume":"124","author":"Collet","year":"1915","journal-title":"Lyon Med"},{"key":"10.25259\/SNI_375_2021\/ref-3","first-page":"16","article-title":"Collet-Sicard syndrome: Case report","volume":"4","author":"de Oliveira","year":"2019","journal-title":"Curr Res Integr Med"},{"key":"10.25259\/SNI_375_2021\/ref-4","doi-asserted-by":"crossref","first-page":"120","DOI":"10.3349\/ymj.2007.48.1.120","article-title":"Collet-Sicard syndrome associated with occipital condyle fracture and epidural hematoma","volume":"48","author":"Erol","year":"2007","journal-title":"Yonsei Med J"},{"key":"10.25259\/SNI_375_2021\/ref-5","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1097\/00007632-198405000-00002","article-title":"Cranial nerve palsies in cervical injuries","volume":"9","author":"Grundy","year":"1984","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.25259\/SNI_375_2021\/ref-6","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1016\/j.nrl.2013.04.002","article-title":"Collet-Sicard syndrome","volume":"30","author":"Gutierrez Rios","year":"2015","journal-title":"Neurologia"},{"key":"10.25259\/SNI_375_2021\/ref-7","doi-asserted-by":"crossref","first-page":"203587","DOI":"10.1155\/2010\/203587","article-title":"Collet-sicard syndrome from thrombosis of the sigmoid-jugular complex: A case report and review of the literature","volume":"2010","author":"Handley","year":"2010","journal-title":"Int J Otolaryngol"},{"key":"10.25259\/SNI_375_2021\/ref-8","doi-asserted-by":"crossref","first-page":"367","DOI":"10.1227\/00006123-198809000-00015","article-title":"Collet-Sicard syndrome after minor head trauma","volume":"23","author":"Hashimoto","year":"1988","journal-title":"Neurosurgery"},{"key":"10.25259\/SNI_375_2021\/ref-9","doi-asserted-by":"crossref","first-page":"487","DOI":"10.1159\/000016117","article-title":"Collet-Sicard syndrome due to coiling and dissection of the internal carotid artery","volume":"10","author":"Heckmann","year":"2000","journal-title":"Cerebrovasc Dis"},{"key":"10.25259\/SNI_375_2021\/ref-10","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1007\/BF01886680","article-title":"Internal carotid artery occlusion due to intraoral trauma","volume":"33","author":"Holyst","year":"1976","journal-title":"Acta Neurochir (Wien)"},{"key":"10.25259\/SNI_375_2021\/ref-11","first-page":"787","article-title":"Transitory paralysis of cranial nerves IX, X and XII as well as the left VII after angiography. 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