PMC4885715_01
Targeted axial (Panel A) and left sagittal (Panel B) MIP reconstructed CT scan images with bone window of the neck showed a comminute fracture of the styloid process at the base of the skull (arrows)
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A CT-Scan of the neck was performed demonstrating a fracture of the left styloid process (SP) at the base of the skull (Figure 1).
The upper cervical MRI on T2 weighted image demonstrate the fourth lower cranial nerves (circle) which appear as black points with high signal intensity around, related to perinerve oedema. On the other side the CN are not visible
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The fourth lower cranial nerves were unusually well seen and discarded by high signal intensity around (Figure 2).
MRI on T2 weighted image showing the drooping and flabby aspects of the left oropharyngeal wall and the left deviation of the tongue
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The MRI also revealed drooping and flabby aspects of the left oropharyngeal wall and left deviated tongue related to the paralysis of the IX and the XII cranial nerves (Figure 3).