Isolated Unilateral Hypoglossal Nerve Palsy Caused by Internal Carotid Artery Loop
نویسندگان
چکیده
منابع مشابه
Isolated hypoglossal nerve palsy due to internal carotid artery dissection.
A case of an isolated hypoglossal nerve palsy is reported. The differential diagnosis is discussed, in the context of the requirement for careful scrutiny of the entire course of the hypoglossal nerve on imaging, to detect underlying pathology remote from the tongue, and to avoid unnecessary invasive diagnostic procedures prompted by the appearance of a 'pseudomass' of the weak tongue both clin...
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We report the case of a patient with unilateral tongue weakness secondary to an isolated lower motor neuron hypoglossal nerve palsy that was caused by a right vertebral artery dissection in the lower neck. The patient had a boggy tongue with a deviation to the right side but an otherwise normal neurological examination. Magnetic resonance angiography showed a narrow lumen of the right vertebral...
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A 42-year-old man presented with right temporal headache, dysarthria, and dysphagia. On examination, he had a right hypoglossal nerve palsy. The diagnosis of right internal carotid artery dissection was suggested by magnetic resonance imaging and confirmed by carotid angiography. A dynamic computed tomogram demonstrated enlargement of the carotid artery. In carotid dissection, the hypoglossal n...
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The hypoglossal nerve plays an important role in speech and swallowing. Despite the nerves important function, damage to the nerve does not usually present with any functional loss or symptoms that would be overtly noticeable to most patients [1,2]. Patients may become aware of such lesions when brushing their teeth or when visiting a dentist. Causes of hypoglossal nerve palsy include intracran...
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An 80-year-old man presented with difficulty in swallowing and speaking which had progressed over one year. Neurological examination revealed right hypoglossal nerve palsy with ipsilateral atrophy (Picture A). Laryngoscopic examination was unremarkable. Slowly progressive dysarthria and dysphagia with tongue atrophy initially indicated motor neuron disease (MND), but needle electromyographic ex...
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ژورنال
عنوان ژورنال: Cureus
سال: 2021
ISSN: 2168-8184
DOI: 10.7759/cureus.14819