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Aguilera-Pena MP, Castiblanco MA, Osejo-Arcos V, Aponte-Caballero R, Gutierrez-Gomez S, Abaunza-Camacho JF, Guevara-Moriones N, Benavides-Burbano CA, Riveros-Castillo WM, Saavedra JM. Collet-Sicard syndrome: a scoping review. Neurosurg Rev 2023; 46:244. [PMID: 37707587 DOI: 10.1007/s10143-023-02145-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2023] [Revised: 08/29/2023] [Accepted: 09/02/2023] [Indexed: 09/15/2023]
Abstract
Collet-Sicard syndrome (CSS) is the unilateral palsy of the cranial nerves (CN) IX, X, XI, and XII. To our knowledge, no review describes the characteristics of patients diagnosed with CSS. Therefore, this review aims to collect and describe all cases in the literature labeled as CSS. We performed a scoping review of the literature and conducted a database search in Embase and PubMed. We included articles and abstracts with case reports or case series of patients with CSS diagnosis. We classified the cases into two groups: "CSS", referring to patients presenting exclusively with IX-XII nerve involvement, and "CSS-plus", which corresponds to cases with CSS and other neurological impairments. We included 135 patients from 126 articles, of which 84 (67.7%) were male. The most common clinical manifestations reported were dysphagia and dysphonia. The most common etiology was tumoral in 53 cases (39.6%) and vascular in 37 cases (27.6%). The majority of patients showed partial or total improvement, with just over half receiving conservative treatment. The most frequent anatomic space was the jugular foramen (44.4%) and the parapharyngeal retrostyloid space (28.9%). Approximately 21% of the patients had other CN impairments, with the seventh and eighth CN most frequently compromised. We conclude that although there is a need for greater rigor in CSS reporting, the syndrome has a clear utility in identifying the localization of jugular foramen and parapharyngeal retrostyloid space pathology.
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Affiliation(s)
| | - Maria A Castiblanco
- Center for Research and Training in Neurosurgery (CIEN), Bogotá, Colombia
- Neurosurgery Department, Hospital Universitario Samaritana, Bogotá, Colombia
- Neurosurgery Department, Hospital Universitario Mayor-Mederi, Bogotá, Colombia
- School of Medicine, Universidad del Rosario, Bogotá, Colombia
| | - Valentina Osejo-Arcos
- Center for Research and Training in Neurosurgery (CIEN), Bogotá, Colombia
- Neurosurgery Department, Hospital Universitario Samaritana, Bogotá, Colombia
- Neurosurgery Department, Hospital Universitario Mayor-Mederi, Bogotá, Colombia
- School of Medicine, Universidad del Rosario, Bogotá, Colombia
| | - Rafael Aponte-Caballero
- Center for Research and Training in Neurosurgery (CIEN), Bogotá, Colombia
- Neurosurgery Department, Hospital Universitario Samaritana, Bogotá, Colombia
- Neurosurgery Department, Hospital Universitario Mayor-Mederi, Bogotá, Colombia
- School of Medicine, Universidad del Rosario, Bogotá, Colombia
| | - Santiago Gutierrez-Gomez
- Center for Research and Training in Neurosurgery (CIEN), Bogotá, Colombia
- Neurosurgery Department, Hospital Universitario Samaritana, Bogotá, Colombia
- Neurosurgery Department, Hospital Universitario Mayor-Mederi, Bogotá, Colombia
- School of Medicine, Universidad del Rosario, Bogotá, Colombia
| | - Juan Felipe Abaunza-Camacho
- Center for Research and Training in Neurosurgery (CIEN), Bogotá, Colombia
- Neurosurgery Department, Hospital Universitario Samaritana, Bogotá, Colombia
- Neurosurgery Department, Hospital Universitario Mayor-Mederi, Bogotá, Colombia
- School of Medicine, Universidad del Rosario, Bogotá, Colombia
| | | | - Camilo Armando Benavides-Burbano
- Center for Research and Training in Neurosurgery (CIEN), Bogotá, Colombia
- Neurosurgery Department, Hospital Universitario Samaritana, Bogotá, Colombia
- Neurosurgery Department, Hospital Universitario Mayor-Mederi, Bogotá, Colombia
- School of Medicine, Universidad del Rosario, Bogotá, Colombia
| | - William M Riveros-Castillo
- Center for Research and Training in Neurosurgery (CIEN), Bogotá, Colombia
- Neurosurgery Department, Hospital Universitario Samaritana, Bogotá, Colombia
- Neurosurgery Department, Hospital Universitario Mayor-Mederi, Bogotá, Colombia
- School of Medicine, Universidad del Rosario, Bogotá, Colombia
| | - Javier M Saavedra
- Center for Research and Training in Neurosurgery (CIEN), Bogotá, Colombia
- Neurosurgery Department, Hospital Universitario Samaritana, Bogotá, Colombia
- Neurosurgery Department, Hospital Universitario Mayor-Mederi, Bogotá, Colombia
- School of Medicine, Universidad del Rosario, Bogotá, Colombia
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Sokhi DS, Mithi CW, Ebrahim FA, Salyani A, Waa S, Riyat MS. Collet-Sicard syndrome due to concurrent extramedullary intracranial plasmacytoma and jugular venous sinus thrombosis in multiple myeloma. Clin Case Rep 2021; 9:e04457. [PMID: 34336210 PMCID: PMC8319375 DOI: 10.1002/ccr3.4457] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2020] [Revised: 05/11/2021] [Accepted: 05/25/2021] [Indexed: 11/27/2022] Open
Abstract
In a patient with Collet-Sicard syndrome and multiple myeloma, both extramedullary plasmacytomas and internal jugular vein-sigmoid sinus thrombosis should be considered as they can coexist.
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Affiliation(s)
- Dilraj Singh Sokhi
- Department of Medicine, Faculty of Health SciencesThe Aga Khan University HospitalAga Khan University Medical College of East AfricaNairobiKenya
| | - Caroline Wangui Mithi
- Department of Medicine, Faculty of Health SciencesThe Aga Khan University HospitalAga Khan University Medical College of East AfricaNairobiKenya
| | - Farah Alnoor Ebrahim
- Department of Medicine, Faculty of Health SciencesThe Aga Khan University HospitalAga Khan University Medical College of East AfricaNairobiKenya
| | - Adil Salyani
- Department of Medicine, Faculty of Health SciencesThe Aga Khan University HospitalAga Khan University Medical College of East AfricaNairobiKenya
| | - Sheila Waa
- Department of Radiology, Faculty of Health SciencesThe Aga Khan University HospitalAga Khan University Medical College of East AfricaNairobiKenya
| | - Malkit Singh Riyat
- Department of Oncology and Haematology, Faculty of Health SciencesThe Aga Khan University HospitalAga Khan University Medical College of East AfricaNairobiKenya
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Vernet's Syndrome Associated with Internal Jugular Vein Thrombosis. J Stroke Cerebrovasc Dis 2018; 28:344-346. [PMID: 30396840 DOI: 10.1016/j.jstrokecerebrovasdis.2018.10.008] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2018] [Revised: 09/17/2018] [Accepted: 10/05/2018] [Indexed: 11/22/2022] Open
Abstract
Our objective is to present a case of Vernet's syndrome (cranial nerve (CN) IX, X, and XI palsy) associated with cerebral venous thrombosis (CVT) in an internal jugular vein. The patient presented with acutely developed dysphagia. The weakness of the left sternocleidomastoid and trapezius muscles was observed. The initial magnetic resonance imaging and computed tomography (CT) with contrast enhancement showed contrast-filling defect in the left internal jugular vein inside the jugular foramen. The magnetic resonance venography with contrast enhancement revealed a partial filling defect in the left sigmoid sinus and total occlusion of the left internal jugular vein. Under the diagnosis of CVT associated with CN IX, X palsy, anticoagulation therapy with low-molecular-weighted heparin was initiated. Despite the continued anticoagulation therapy for 3 months, neither the burden of thrombosis in the left sigmoid sinus and internal jugular vein on neck CT nor dysphagia symptoms improved. Clinicians need to be aware of internal jugular venous thrombosis as one of the differential diagnoses in Vernet's syndrome in patients in a hypercoagulable state. Further reporting of similar cases is needed to confirm the association between CVT and Vernet's syndrome.
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Collet-sicard syndrome from thrombosis of the sigmoid-jugular complex: a case report and review of the literature. Int J Otolaryngol 2010; 2010. [PMID: 20706543 PMCID: PMC2913533 DOI: 10.1155/2010/203587] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2010] [Accepted: 06/16/2010] [Indexed: 11/17/2022] Open
Abstract
Purpose. Collet-Sicard syndrome is a very rare condition characterised by unilateral palsy of the IX-XII cranial nerves. It is distinguished from Villaret syndrome by lack of presence of sympathetic involvement. Current literature contains only two cases of Collet-Sicard syndrome due to idiopathic internal jugular vein thrombosis. Method and Results. We report the case of Collet-Sicard syndrome in a 30-year-old man who presented with delayed development of XIth nerve dysfunction, due to internal jugular vein-sigmoid sinus thrombosis. A multidisciplinary team approach was employed in the management of this patient. At three-month followup, he had significantly improved swallowing, and repeat computed tomography neck scan showed partial recanalisation of the right internal jugular vein. Conclusion. In suspected Collet-Sicard syndrome, a focal primary lesion or metastasis to the temporal bone must be excluded, and sigmoid-jugular complex thrombosis should be considered in the differential diagnosis. Early recognition and treatment may result in significant functional recovery.
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Opie NJ, Ur-Rehman K, James GJ. A case of Collet-Sicard syndrome presenting to the Oral and Maxillofacial Surgery Department and a review of the literature. Br J Oral Maxillofac Surg 2009; 48:e9-11. [PMID: 20018414 DOI: 10.1016/j.bjoms.2009.10.027] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2009] [Accepted: 10/23/2009] [Indexed: 01/21/2023]
Abstract
A case of Collet-Sicard Syndrome caused by skull base metastasis of probable breast adenocarcinoma is reported. A 79-year-old lady presented to the Oral and Maxillofacial Surgery Department with progressive left-sided tongue symptoms that she described as swelling. This was initially attributed to local disease, and a biopsy showed the patient was suffering from Necrotizing Sialometaplasia. However, her symptoms rapidly evolved into cranial nerve palsies affecting IX-XII, not initially diagnosed. Subsequent imaging revealed the cause of her worsening symptoms to be a metastatic lesion at her left skull base. Cranial nerve palsies due to metastases to the skull base are rare, and the authors would advise clinicians to adopt a high-index of suspicion in ruling out cranial nerve pathology at the skull base when encountering unusual signs and symptoms in the head and neck region.
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Affiliation(s)
- Neil John Opie
- Worcestershire Royal Hospital, Charles Hastings Way, Worcester, WR5 1DD, UK.
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Sibai TA, Ben-Galim PJ, Eicher SA, Reitman CA. Infectious Collet-Sicard syndrome in the differential diagnosis of cerebrovascular accident: a case of head-to-neck dissociation with skull-based osteomyelitis. Spine J 2009; 9:e6-e10. [PMID: 18672403 DOI: 10.1016/j.spinee.2008.05.012] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/21/2008] [Revised: 03/18/2008] [Accepted: 05/19/2008] [Indexed: 02/03/2023]
Abstract
BACKGROUND CONTEXT Collet-Sicard syndrome (CSS) is a rare condition that includes palsies of cranial nerves IX, X, XI, and XII. There are multiple reported causes in the literature, although infection is particularly unusual. PURPOSE To report an unusual case of CSS as a result of infection causing head-to-neck dissociation with involvement of the upper cervical spine. STUDY DESIGN Case report. METHODS A 56-year-old male with medical comorbidities developed a cranial-based infection secondary to initial incomplete treatment of otitis media. The mass effect of the infection resulted in multiple cranial nerve palsies and extremity symptoms initially confused with a cerebrovascular accident. Clinical course of the patient and a review of CSS are presented. RESULTS With progression of the disease, further evaluation revealed a disseminated upper cervical and skull-based infection causing destructive head-to-neck infectious instability. This was treated with posterior occipitocervical debridement, fixation, and fusion and appropriate long-term antibiotics. Over the course of several months, the infection resolved and there was a significant improvement in his dysphagia, dysarthria, and hearing. CONCLUSIONS Delay in diagnosis of CSS is common, and this syndrome should be considered in patients who present with a constellation of lower cranial nerve palsies. Early recognition and treatment should result in successful recovery, but even in cases of delayed detection, suitable intervention can result in substantial clinical improvement.
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Affiliation(s)
- Tarek A Sibai
- Department of Orthopedic Surgery, Baylor College of Medicine, Houston, TX 77030, USA
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Knibb J, Lenthall R, Bajaj N. Internal carotid artery dissection presenting with ipsilateral tenth and twelfth nerve palsies and apparent mass lesion on MRI. Br J Radiol 2005; 78:659-61. [PMID: 15961853 DOI: 10.1259/bjr/57426025] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
We report the case of a 47-year-old man who presented with a few months' history of right-sided headache and dysphagia, with ipsilateral tenth and twelfth cranial nerve palsies on examination. The initial MRI showed an enhancing mass lesion in relation to the right carotid sheath and jugular foramen, and was reported as a possible paraganglioma. Subsequent angiography performed to assess tumour vascularity demonstrated a dissection involving a tonsillar loop of the right internal carotid artery (ICA). Imaging findings at MRI and angiography and the presentations and mechanisms of ICA dissection are briefly discussed.
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Affiliation(s)
- J Knibb
- Queen's Medical Centre, Derby Road, Nottingham NG7 2UH, UK
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Jary A, Maillard L, Raffo E, Ducrocq X, Braun M, Vespignani H. Paralysie vélopalatine isolée aiguë réversible de l’enfant. Rev Neurol (Paris) 2004; 160:836-8. [PMID: 15454873 DOI: 10.1016/s0035-3787(04)71041-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
INTRODUCTION Unilateral spinal and accessory palsy is uncommon in children. The main problem is the extensive exploration undertaken to achieve etiological diagnosis. OBSERVATION We report two cases of transitory, unilateral, spinal and accessory palsy, associated in one case with homolateral hemi-pharyngeal palsy, that occurred in two previously healthy children. RESULTS Few reports have been published in the literature to date. From those two cases and data of the literature, we suggest that the clinical presentation results from idiopathic peripheral nerve palsy. CONCLUSION Further case reports would be useful to confirm the benign nature of this syndrome so that complementary investigations may be limited in future cases with a similar presentation.
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Affiliation(s)
- A Jary
- Service de Neurologie, CHU de Nancy, Hôpital Central, Nancy
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