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Radiation Oncology/Anatomy/Clinical syndromes with cn palsy
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Cerebellopontine Angle Syndrome
Acoustic Tumours
CN IX and CN VIII and CN V can be affected
Symptoms:
IX:
Tinnitus
Gag reflex decreased
VIII:
Vertigo
Deafness
V
Facial Sensory defecit
Jugular Foramen Syndrome (Vernet Syndrome)
Glomus Jugular Tumours
Base of skull fx
Meningioma
CN IX, X, XI
Symptoms:
Dull unilatsimilar to unital September 2022 aching pain behind ear
XI
Ipsilateral Trapezius and SCM palsy
IX
Depressed gag reflex
Loss of taste at post 1/3 tongue
Loss pf sensation of uvula
X
Dysphonia
Dysphagia
Palatal drop
Loss of sensation of pharynx and larynx
Retropharyngeal & Retroparotid Space Syndrome
Collet-Sicard Syndrome
CN IX, X, XI, XII
Symptoms:
Paralysis of the vocal cords, palate, trapezius muscle and sternocleidomastoid muscle.
Anaesthesia of the larynx, pharynx and soft palate.
Villaret's Syndrome (Retroparotid)
CN IX, X, XI, XII, Sympathetic chain and sometime CN VII
<li>Symptoms:
IX
Loss of posterior taste of tongue
Depressed gag reflex
X
Loss of sensation of soft palate, pharynx and larynx
XII
Ipsilateral deviation of tongue
<li>Sympathetic involvement
Horner's syndrome