A 35 Y/O man with post traumatic symptoms such as vertigo& fascial nerve palsy

 

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Doctor's Information

Name :  Morteza
Family :Sanei Taheri
Email :   This email address is being protected from spambots. You need JavaScript enabled to view it.
Resident :  Samira Shahhamzei

 

Patient's Information

Gender :  Male
Age :  35

 

Case Section

Head & Neck Imaging

 

Clinical Summary

A 35 Y/O man with post traumatic symptoms such as vertigo &fascial nerve palsy

 

 

Imaging Procedures and Findings

Axial CT scan from petrous demonstrates transverse Fx of temporal bone . Fracture line involves vestibule and second part of facial nerve . Note mastoid air cells opacification and occiputotemporal suture diastasis.

 

Discussion

Fractures of the temporal bone can be classified as longitudinal or transverse depending on their orientation relative to the long axis of the petrous bone. fractures perpendicular to the long axis of the petrous bone are termed ??transverse? fractures. The transverse temporal bone fracture usually results from a blow to the occiput or frontal region. Complications are usually more severe and include sensorineural hearing loss, severe vertigo, nystagmus, and perilymphatic fistula. Facial palsy is seen in 30% to 50% of these cases and is often complete . Transverse fractures may also involve the carotid canal or jugular foramen, causing injury to the carotid artery or jugular vein.

 

Final Diagnosis

Transverse temporal bone Fx with injury to facial nerve and vestibule

 

References

Brant WE, Helms CA. Fundamentals of Diagnostic Radiology, 3rd edition. P57

 

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