J Korean Acad Rehabil Med.  1998 Jun;22(3):756-760.

Multiple Cranial Nerve Injury by Single Cervical Stab Wound: A case report

• Park JM
• Kim SH
• Shim JH

Abstract

The cranial nerve lesions can occur from a stroke, traumatic brain injury or direct cervical injury, and can produce various functional problems of the craniofacial structures. Usually the cranial nerve injury can be diagnosed by a simple clinical manifestation, and physical or neurological examination. Electrophysiologic study and imaging study such as MRI are frequently used as the sequential follow up studies for the objective evaluation of neurologic regeneration process. We report a case of multiple cranial nerve injuries, of the fifth, seventh, tenth, eleventh and twelfth cranial nerves from a single deep cervical stab wound of 4 cm in length from 0.5 cm anterior of the tragus to 1 cm posterior to the mandibular angle. Electrophysiologic study including an electromyography of tongue and vocal cord, blink reflex and facial nerve conduction study were used for the diagnosis and follow up.

Keyword

Single stab wound; Multiple cranial nerve lesion; Electrophysiologic study

MeSH Terms

Blinking
Brain Injuries
Cranial Nerve Injuries*
Cranial Nerves*
Diagnosis
Electromyography
Facial Nerve
Follow-Up Studies
Hypoglossal Nerve
Magnetic Resonance Imaging
Neurologic Examination
Regeneration
Stroke
Tongue
Vocal Cords
Wounds, Stab*