British Journal of Oral and Maxillofacial Surgery
Volume 48, Issue 4 , Pages e18-e20, June 2010

TMJ arthroscopy: rare neurological complications associated with breach of the skull base

  • Shinali Patel

      Affiliations

    • UCLH Head and Neck Centre, London, United Kingdom
  • ,
  • Waseem Jerjes

      Affiliations

    • UCLH Head and Neck Centre, London, United Kingdom
    • Unit of Oral and Maxillofacial Surgery, UCL Eastman Dental Institute, London, United Kingdom
    • Department of Surgery, University College London Medical School, London, United Kingdom
  • ,
  • Tahwinder Upile

      Affiliations

    • UCLH Head and Neck Centre, London, United Kingdom
    • Department of Surgery, University College London Medical School, London, United Kingdom
  • ,
  • Colin Hopper

      Affiliations

    • UCLH Head and Neck Centre, London, United Kingdom
    • Unit of Oral and Maxillofacial Surgery, UCL Eastman Dental Institute, London, United Kingdom
    • Department of Surgery, University College London Medical School, London, United Kingdom
    • Corresponding Author InformationCorresponding author at: Head & Neck Centre, University College Hospital, 1st Floor East Wing, 250 Euston Road, London NW1 2PG, United Kingdom.

Accepted 18 December 2009. published online 02 April 2010.

Abstract 

We report an interesting case of vertigo and palsies of the right oculomotor and trochlear nerves associated with fluid collection in the region of the ipsilateral temporal lobe and cavernous sinus after bilateral arthroscopy of the temporomandibular joint (TMJ).

Keywords: TMJ, Arthroscopy, Neurological, Complications, Breach of the skull base

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PII: S0266-4356(10)00019-7

doi:10.1016/j.bjoms.2009.12.012

British Journal of Oral and Maxillofacial Surgery
Volume 48, Issue 4 , Pages e18-e20, June 2010