{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T06:26:30Z","timestamp":1761805590540,"version":"build-2065373602"},"reference-count":22,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T00:00:00Z","timestamp":1761782400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:p>Lower cranial nerve palsy is a rare condition, most commonly caused by malignant skull base lesions or internal carotid artery dissection, and only rarely resulting from trauma. We report two cases of road traffic accident victims presenting with lower cranial nerve palsy involving cranial nerves IX, X, and XI. Both patients had similar clinical complaints. The most important findings were a dislocated occipital condyle fracture and suspected associated soft tissue injury. Both were treated conservatively with a rigid cervical collar. A nasogastric tube was required for the first patient during the initial recovery period due to severe dysphagia, while the second patient tolerated oral intake and did not require enteral feeding. Both patients showed gradual improvement in symptoms during hospitalization and follow-up. These injuries, with their often subtle clinical presentation, may be easily overlooked and require prompt detection to prevent complications.<\/jats:p>","DOI":"10.3389\/fsurg.2025.1613887","type":"journal-article","created":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T06:22:19Z","timestamp":1761805339000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Case Report: Head injury presenting as lower cranial nerve palsy"],"prefix":"10.3389","volume":"12","author":[{"given":"Shubham","family":"Gupta","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rakesh","family":"Gupta","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zafar","family":"Sheikh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abhijeet","family":"Bele","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,10,30]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"14","DOI":"10.1136\/jnnp.60.1.14","article-title":"Multiple myeloma presenting as the Collet-Sicard syndrome","volume":"60","author":"Tappin","year":"1996","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"B2","doi-asserted-by":"publisher","first-page":"376","DOI":"10.1016\/s1470-2045(03)01097-0","article-title":"Collet-Sicard syndrome\u2014a report and review","volume":"4","author":"Prashant","year":"2003","journal-title":"Lancet Oncol"},{"key":"B3","doi-asserted-by":"publisher","first-page":"92","DOI":"10.1097\/00007611-198401000-00029","article-title":"Jugular foramen syndrome as a complication of metastatic cancer of the prostate","volume":"77","author":"Wilson","year":"1984","journal-title":"South Med J"},{"key":"B4","doi-asserted-by":"publisher","first-page":"1561","DOI":"10.1161\/01.str.19.12.1561","article-title":"Lower cranial nerve palsies due to internal carotid dissection","volume":"19","author":"Waespe","year":"1988","journal-title":"Stroke"},{"key":"B5","doi-asserted-by":"publisher","first-page":"731","DOI":"10.1046\/j.1468-1331.2003.00662.x","article-title":"Left internal carotid artery dissection presenting with headache, Collet-Sicard syndrome and sustained hypertension","volume":"10","author":"Walker","year":"2003","journal-title":"Eur J Neurol"},{"key":"B6","first-page":"311","article-title":"S\u00edndrome de Collet-Sicard como presentaci\u00f3n de schwannoma del nervio hipogloso [Schwannoma of the hypoglossal nerve presenting as a syndrome of Collet-Sicard]","volume":"20","author":"Garcia-Escriv\u00e0","year":"2005","journal-title":"Neurologia"},{"key":"B7","doi-asserted-by":"publisher","first-page":"395","DOI":"10.1097\/00007632-200002010-00023","article-title":"Jefferson fracture resulting in Collet-Sicard syndrome","volume":"25","author":"Connolly","year":"2000","journal-title":"Spine"},{"key":"B8","doi-asserted-by":"publisher","first-page":"782","DOI":"10.1136\/jnnp.2003.024083","article-title":"A case of Collet-Sicard syndrome associated with traumatic atlas fractures and congenital basilar invagination","volume":"75","author":"Hsu","year":"2004","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"B9","first-page":"469","article-title":"Surgical observations","volume":"4","author":"Bell","year":"1817","journal-title":"Middlesex Hosp J"},{"key":"B10","doi-asserted-by":"publisher","first-page":"1201","DOI":"10.2214\/ajr.165.5.7572503","article-title":"Frequency and significance of fractures of the upper cervical spine detected by CT in patients with severe neck trauma","volume":"165","author":"Blacksin","year":"1995","journal-title":"AJR Am J Roentgenol"},{"key":"B11","doi-asserted-by":"publisher","first-page":"741","DOI":"10.1148\/radiology.196.3.7644638","article-title":"Substantial head trauma: value of routine CT examination of the cervicocranium","volume":"196","author":"Link","year":"1995","journal-title":"Radiology"},{"key":"B12","doi-asserted-by":"publisher","first-page":"665","DOI":"10.1302\/0301-620X.88B5.16598","article-title":"Occipital condylar fractures. 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