Collet-Sicard Syndrome - Revision history

Jack.Dewey at 23:03, 9 March 2024

2024-03-09T23:03:58Z

← Older revision		Revision as of 23:03, 9 March 2024
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	* Trauma<ref>Al-Shabibi, T., Hamdi, H., Balaha, A., Ghoraba, Y., & Kaya, J. M. (2021). Delayed Collet-Sicard syndrome after internal carotid dissection and Jefferson fracture. Case report and Review of Literature. ''Surgical Neurology International'', 12.</ref>		* Trauma<ref>Al-Shabibi, T., Hamdi, H., Balaha, A., Ghoraba, Y., & Kaya, J. M. (2021). Delayed Collet-Sicard syndrome after internal carotid dissection and Jefferson fracture. Case report and Review of Literature. ''Surgical Neurology International'', 12.</ref>
	* Paget Disease		* Paget Disease
	* Osteomyelitis of the Skull Base		* Osteomyelitis of the Skull Base<ref>Bonda S, Tun KM, Asad S. A Case of Collet-Sicard Syndrome Caused by Otitis Externa. ''Cureus''. 2022;14(7):e27218. Published 2022 Jul 25. doi:10.7759/cureus.27218.</ref><ref>Low WK, Lhu HL. Skull Base Osteomyelitis from Otitis Media Presenting as the Collet-Sicard Syndrome. ''Case Rep Otolaryngol''. 2018;2018:1407417. Published 2018 Mar 18. doi:10.1155/2018/1407417</ref><ref>Bonda S, Tun KM, Asad S. A Case of Collet-Sicard Syndrome Caused by Otitis Externa. ''Cureus''. 2022;14(7):e27218. Published 2022 Jul 25. doi:10.7759/cureus.27218.</ref>
	* Vascular Disease		* Vascular Disease

Jack.Dewey at 16:10, 13 February 2024

2024-02-13T16:10:09Z

← Older revision		Revision as of 16:10, 13 February 2024
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	=== Physical Examination ===		=== Physical Examination ===
	[[File:Unilateral hypoglossal nerve injury.jpeg\|right\|thumb\|~~300~~ px\|Tongue deviation from hypoglossal nerve injury]]		[[File:Unilateral hypoglossal nerve injury.jpeg\|right\|thumb\|200 px\|Tongue deviation from hypoglossal nerve injury]]
	All cranial nerves should be assessed in the workup of Collett-Sicard to rule out other cranial nerve involvement (potentially leading to a different diagnosis). Cranial nerves IX, X, XI, and XII are expected to be weak or paralyzed.		All cranial nerves should be assessed in the workup of Collett-Sicard to rule out other cranial nerve involvement (potentially leading to a different diagnosis). Cranial nerves IX, X, XI, and XII are expected to be weak or paralyzed.
	* Altered sense of taste (CN IX)		* Altered sense of taste (CN IX)

Jack.Dewey at 16:09, 13 February 2024

2024-02-13T16:09:34Z

← Older revision		Revision as of 16:09, 13 February 2024
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	=== Laboratory Tests ===		=== Laboratory Tests ===
			Laboratory testing may not be necessary in patients with a low index of suspicion for infectious causes. In patients where you suspect an infectious etiology, such as osteomyelitis of the skull base, routine infectious laboratory workup is warranted:
			* Complete blood count (CBC) with differential
			* C-Reactive Protein (CRP) / Erythrocyte Sedimentation Rate (ESR)
			* Blood cultures

	=== Imaging ===		=== Imaging ===
			In many instances, patients will already have a CT Brain at the time of ENT consultation to rule out a central cause of their cranial nerve deficits. MRI of the skull base with and without contrast will be the ideal imaging modality in most neoplastic causes of Collet-Sicard syndrome. For patients with a traumatic etiology, CT skull base will identify any fractures or bone chips resulting in the nerve palsies. Consider CT angiogram of the carotid system if there is trauma to the skull base as there may be concomitant injury to the carotid canal.

	=== Differential Diagnosis ===		=== Differential Diagnosis ===
	There are several named syndromes differentiating the various cranial nerve deficits that can result from skull base masses and lesions. These should be considered based on cranial nerve involvement.		There are several named syndromes differentiating the various cranial nerve deficits that can result from skull base masses and lesions. These should be considered based on cranial nerve involvement.

Jack.Dewey: /* Physical Examination */

2024-02-13T15:15:48Z

Physical Examination

← Older revision		Revision as of 15:15, 13 February 2024
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	=== Physical Examination ===		=== Physical Examination ===
			[[File:Unilateral hypoglossal nerve injury.jpeg\|right\|thumb\|300 px\|Tongue deviation from hypoglossal nerve injury]]
			All cranial nerves should be assessed in the workup of Collett-Sicard to rule out other cranial nerve involvement (potentially leading to a different diagnosis). Cranial nerves IX, X, XI, and XII are expected to be weak or paralyzed.
			* Altered sense of taste (CN IX)
			* Diminished gag reflex (CN IX, X)
			* Vocal cord weakness / immobility (CN X)
			* Weakened shoulder shrug (CN XI)
			* Weakened arm abduction over 90 degrees (CN XI)
			* Tongue deviation to the side of weakness on tongue protrusion (CN XII)

	=== Laboratory Tests ===		=== Laboratory Tests ===
	=== Imaging ===		=== Imaging ===

Jack.Dewey at 14:19, 13 February 2024

2024-02-13T14:19:51Z

@@ Line 46: / Line 46: @@
 == Diagnosis ==
 === Patient History ===
 === Physical Examination ===
 === Laboratory Tests ===

Jack.Dewey: /* Differential Diagnosis */

2024-02-12T22:09:59Z

Differential Diagnosis

← Older revision		Revision as of 22:09, 12 February 2024
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	\| Vernet Syndrome \|\| ✔ \|\| ✔ \|\| ✔ \|\| \|\|		\| Vernet Syndrome \|\| ✔ \|\| ✔ \|\| ✔ \|\| \|\|
	\|-		\|-
	\| Collet Sicard Syndrome \|\| ✔ \|\| ✔ \|\| ✔ \|\| ✔ \|\|		\| Collet-Sicard Syndrome \|\| ✔ \|\| ✔ \|\| ✔ \|\| ✔ \|\|
	\|-		\|-
	\| Villaret Syndrome \|\| ✔ \|\| ✔ \|\| ✔ \|\| ✔ \|\| ✔		\| Villaret Syndrome \|\| ✔ \|\| ✔ \|\| ✔ \|\| ✔ \|\| ✔

Jack.Dewey: Jack.Dewey moved page Collet Sicard Syndrome to Collet-Sicard Syndrome: Misspelled title

2024-02-12T22:07:20Z

Jack.Dewey moved page Collet Sicard Syndrome to Collet-Sicard Syndrome: Misspelled title

← Older revision	Revision as of 22:07, 12 February 2024
(No difference)

Jack.Dewey at 21:42, 12 February 2024

2024-02-12T21:42:44Z

← Older revision		Revision as of 21:42, 12 February 2024
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	== Overview ==		== Overview ==
	'''Collet Sicard Syndrome''', also known as '''~~condylar jugular syndrome~~''', describes a collection of ipsilateral cranial nerve palsies (IX, X, XI, and XII) as a result of injury or mass effect at the skull base.		'''Collet-Sicard Syndrome''', also known as '''Condylar Jugular Syndrome''', describes a collection of ipsilateral cranial nerve palsies (IX, X, XI, and XII) as a result of injury or mass effect at the skull base.

	=== History ===		=== History ===
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	== Pathophysiology ==		== Pathophysiology ==
	=== Relevant Anatomy ===		=== Relevant Anatomy ===
			Collet-Sicard syndrome is a result of injury or mass effect to cranial nerves IX, X, and XI at the jugular foramen (in isolation known as Vernet Syndrome), with the additional involvement of CN XII (most commonly at the hypoglossal canal). Readers should be familiar with the anatomy of the cranial nerves and their respective skull base foramina.
			<gallery>
			File:707 Superior-Inferior View of Skull Base-01.jpg\|Skull base foramina, superior and inferior views
			File:Gray193 - Cranial fossae-es.png\|Skull base foramina
			File:Gray794.png\|Cranial Nerves IX, X, and XII exiting the skull base
			</gallery>

	=== Disease Etiology ===		=== Disease Etiology ===
	~~=== Genetics ===~~		The etiology of Collet-Sicard syndrome can be divided into neoplastic and non-neoplastic causes:
	~~=== Histology ===~~
			'''Neoplastic'''
			* Jugular Paraganglioma
			* Meningioma
			* Schwannoma<ref>Lee SH, Lee ES, Yoon CH, Shin H, Lee CH. Collet-Sicard Syndrome With Hypoglossal Nerve Schwannoma: A Case Report. ''Ann Rehabil Med.'' 2017;41(6):1100-1104. doi:10.5535/arm.2017.41.6.1100</ref><ref>Ordoñez-Granja J, Rivera Velazquez JE, Martinez Albarrán LA, Castillo-Rangel C. Glossopharyngeal schwannoma: Clinical case report. Schwannoma del glosofaríngeo: reporte de caso clínico. ''Neurocirugia (Astur : Engl Ed).'' 2020;31(2):93-97. doi:10.1016/j.neucir.2019.05.003</ref>
			* Metastatic Disease<ref>Villatoro R, Romero C, Rueda A. Collet-Sicard syndrome as an initial presentation of prostate cancer: a case report. ''J Med Case Rep''. 2011;5:315. Published 2011 Jul 14. doi:10.1186/1752-1947-5-315</ref>

			'''Non-Neoplastic'''
			* Trauma<ref>Al-Shabibi, T., Hamdi, H., Balaha, A., Ghoraba, Y., & Kaya, J. M. (2021). Delayed Collet-Sicard syndrome after internal carotid dissection and Jefferson fracture. Case report and Review of Literature. ''Surgical Neurology International'', 12.</ref>
			* Paget Disease
			* Osteomyelitis of the Skull Base
			* Vascular Disease

	== Diagnosis ==		== Diagnosis ==

Jack.Dewey at 20:43, 12 February 2024

2024-02-12T20:43:48Z

← Older revision		Revision as of 20:43, 12 February 2024
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	{{infobox Disease		{{infobox Disease
	\|Title =		\|Title =
	\|Aliases =		\|Aliases = Condylar Jugular Syndrome
	\|Image =		\|Image =
	\|Caption =		\|Caption =
	\|ICD-9 =		\|ICD-9 = 352.6
	\|ICD-10 =		\|ICD-10 = G52.7
	\|MeSH =		\|MeSH =
	\|Gene =		\|Gene =
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	\|OMIM =		\|OMIM =
	\|EyeWiki =		\|EyeWiki =
	\|Radiopaedia =		\|Radiopaedia = [https://radiopaedia.org/articles/collet-sicard-syndrome Collet-Sicard Syndrome]
	}}		}}

	== Overview ==		== Overview ==
			'''Collet Sicard Syndrome''', also known as '''condylar jugular syndrome''', describes a collection of ipsilateral cranial nerve palsies (IX, X, XI, and XII) as a result of injury or mass effect at the skull base.

	=== History ===		=== History ===
			Frederic Collet first described a World War I patient in 1915 with this constellation of cranial nerve palsies following a bullet injury.<ref>Collet, F. J. (1915). Sur un nouveau syndrome paralytique pharyngo-larynge par blessure de guerre (hemiplegie glosso-laryngo-scapulo-pharyngee). ''Lyon Med'', 124, 121-129.</ref> This case presentation was seen again by Jean Sicard in 1917.<ref>Sicard, J. A. (1917). Syndrome du carrefour condylodechire posterieur (type pur de paralysie laryngee associee). ''Marseille Med'', 53, 383.</ref>

	== Pathophysiology ==		== Pathophysiology ==

Jack.Dewey: Created page with "{{infobox Disease |Title = |Aliases = |Image = |Caption = |ICD-9 = |ICD-10 = |MeSH = |Gene = |Locus = |OMIM = |EyeWiki = |Radiopaedia = }} == Overview == === History === == Pathophysiology == === Relevant Anatomy === === Disease Etiology === === Genetics === === Histology === == Diagnosis == === Patient History =..."

2024-01-28T20:20:07Z

Created page with "{{infobox Disease |Title = |Aliases = |Image = |Caption = |ICD-9 = |ICD-10 = |MeSH = |Gene = |Locus = |OMIM = |EyeWiki = |Radiopaedia = }} == Overview == === History === == Pathophysiology == === Relevant Anatomy === === Disease Etiology === === Genetics === === Histology === == Diagnosis == === Patient History =..."

New page

{{infobox Disease
|Title =
|Aliases =
|Image =
|Caption =
|ICD-9 =
|ICD-10 =
|MeSH =
|Gene =
|Locus =
|OMIM =
|EyeWiki =
|Radiopaedia =
}}

== Overview ==
=== History ===

== Pathophysiology ==
=== Relevant Anatomy ===
=== Disease Etiology ===
=== Genetics ===
=== Histology ===

== Diagnosis ==
=== Patient History ===
=== Physical Examination ===
=== Laboratory Tests ===
=== Imaging ===
=== Differential Diagnosis ===
There are several named syndromes differentiating the various cranial nerve deficits that can result from skull base masses and lesions. These should be considered based on cranial nerve involvement.
* [[Vernet Syndrome|Vernet Syndrome]]
* [[Villaret Syndrome|Villaret Syndrome]]
* [[Tapia Syndrome|Tapia Syndrome]]
* [[Jackson Syndrome|Jackson Syndrome]]
* [[Schmidt Syndrome|Schmidt Syndrome]]

These syndromes and their respective cranial nerve involvement are outlined in the table below.

{| class="wikitable", style="margin-left: auto; margin-right: auto; border: none; text-align: center"
|+ Cranial Nerve Involvement in Skull Base Masses
|-
! Syndrome !! CN IX !! CN X !! CN XI !! CN XII !! Sympathetics
|-
| Vernet Syndrome || ✔ || ✔ || ✔ || ||
|-
| Collet Sicard Syndrome || ✔ || ✔ || ✔ || ✔ ||
|-
| Villaret Syndrome || ✔ || ✔ || ✔ || ✔ || ✔
|-
| Tapia Syndrome || || ✔ || ± || ✔ || ±
|-
| Jackson Syndrome || || ✔ || ✔ || ✔ ||
|-
| Schmidt Syndrome || || ✔ || ✔ || ||
|}

== Management ==
=== Medical Management ===
=== Surgical Management ===

== Outcomes ==
=== Complications ===
=== Prognosis ===

== References ==
<references />