Mystery Case: Hypoglossal nerve palsy in occipito-temporal pneumatization

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Mystery case: hypoglossal nerve palsy in occipito-temporal pneumatization.

A 47-year-old man, with a 25-year history of frequent scuba diving, presented with a right-sided hypoglossal palsy 2 days after occipital head trauma. CT showed excessive occipito-temporal and atlas pneumatization, soft tissue emphysema, right-sided opacification of mastoid air cells, and a right-sided hypoglossal canal fracture (figures 1 and 2). Hypoglossal palsy resolved spontaneously 10 day...

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Hypoglossal nerve palsy.

The hypoglossal nerve receives only brief mention in most textbooks and compared with other cranial nerve palsies, 12th nerve palsy is much less common. We report a 52-year-old woman who presented with right-sided headaches for over a year. It was only on examination that we discovered she had an abnormal tongue. She had wasting and fasciculations on the right side of her tongue, which was devi...

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Hypoglossal nerve palsy complicating a case of infectious mononucleosis.

Case report R.G., a 17-year-old management trainee, was admitted to the Radcliffe Infirmary with a 1 week history of sore throat, headache loss of appetite, shivers, nausea and malaise. He had been given a course of penicillin V on the second day of his illness by his general practitioner without improvement. On examination he looked ill and had a temperature of 38 2°C. There was generalized ly...

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Isolated hypoglossal nerve palsy: a diagnostic challenge.

was admitted to our hospital for an additional workup. Until then speech difficulties had diminished, but he reported occasional vague pain localized to the right mandibular angle, especially during head movements. There was no history of neck trauma or manipulation or vigorous exercise. Neurological examination revealed only right HNP with ipsilateral atrophy ( fig. 1 ) without signs of other ...

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Persistent isolated unilateral hypoglossal nerve palsy

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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ژورنال

عنوان ژورنال: Neurology

سال: 2012

ISSN: 0028-3878,1526-632X

DOI: 10.1212/wnl.0b013e31826c1b41