특발성 단독설하신경마비 1례
A Case of Idiopathic Isolated Hypoglossal Nerve Palsy
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Isolated hypoglossal nerve palsy is a rare clinical condition and it causes deviation of the tongue and dysarthria. A 50-year-old female presented with tongue deviation to the left and mild dysarthria. She had no remarkable past medical history except several recent upper respiratory infections. On examination, the other cranial nerves were intact and she had no focal neurological signs. The findings of MRI and MR angiography were normal. Cerebrospinal fluid analysis revealed only mild elevation of protein. We diagnosed her as suffering with idiopathic isolated hypoglossal nerver palsy and we administered steroid therapy. The dysarthria was improved, but the tongue deviation still remained at 50 days after onset. We report here on a rare case of idiopathic isolated hypoglossal nerve palsy.
Abstract
Isolated hypoglossal nerve palsy is a rare clinical condition and it causes deviation of the tongue and dysarthria. A 50-year-old female presented with tongue deviation to the left and mild dysarthria. She had no remarkable past medical history except several recent upper respiratory infections. On examination, the other cranial nerves were intact and she had no focal neurological signs. The findings of MRI and MR angiography were normal. Cerebrospinal fluid analysis revealed only mild elevation of protein. We diagnosed her as suffering with idiopathic isolated hypoglossal nerver palsy and we administered steroid therapy. The dysarthria was improved, but the tongue deviation still remained at 50 days after onset. We report here on a rare case of idiopathic isolated hypoglossal nerve palsy.
참고문헌 (6)
- Freedman M, "Idiopathic isolated unilateral hypoglossal nerve palsy: a diagnosis of exclusion", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 106(1), pp.e22~e26 (2008)
- Keane JR, "Twelfth-nerve palsy. Analysis of 100 cases", Arch Neurol, 53(6), pp.561~566 (1996)
- 최준영, "상기도감염 후 발생한 특발성 단독설하신경마비", 대한신경과학회지, 27(2), pp.192~193 (2009), 대한신경과학회
- Durrani F, "Isolated hypoglossal nerve palsy due to infected impacted tooth", Case Report Med, 2009, pp.1~4 (2009)
- Combarros O, "Isolated unilateral hypoglossal nerve palsy:nine cases", J Neurol, 245(2), pp.98~100 (1998)
- Lee SS, "Transient unilateral hypoglossal nerve palsy: a case report", Clin Neurol Neurosurg, 96(2), pp.148~151 (1994)