단독 혀마비로 발현한 항체 양성 시신경척수염범주질환
Isolated Tongue Paralysis as Presentation of Seropositive Neuromyelitis Optica Spectrum Disorder
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Neuromyelitis optica spectrum disorder (NMOSD) is characterized by a characteristic clinical presentation or positivity for the anti-aquaporin-4 antibody. Lesions involving the dorsal medulla are typical of NMOSD, but isolated tongue paralysis has not been reported previously. We report a rare case of NMOSD presenting with isolated tongue paralysis and swelling due to intrinsic tongue muscle paralysis, which was caused by bilateral involvement of the hypoglossal nuclei in the lower dorsal medulla oblongata.
Abstract
Neuromyelitis optica spectrum disorder (NMOSD) is characterized by a characteristic clinical presentation or positivity for the anti-aquaporin-4 antibody. Lesions involving the dorsal medulla are typical of NMOSD, but isolated tongue paralysis has not been reported previously. We report a rare case of NMOSD presenting with isolated tongue paralysis and swelling due to intrinsic tongue muscle paralysis, which was caused by bilateral involvement of the hypoglossal nuclei in the lower dorsal medulla oblongata.
참고문헌 (10)
- Wingerchuk DM, "International consensus diagnostic criteria for neuromyelitis optica spectrum disorders", Neurology, 85, pp.177~189 (2015)
- Lee EJ, "Dysarthria and right hemiparesis as an initial manifestation of NMO spectrum disorder (NMOSD)", J Mult Scler, 5, pp.18~21 (2014)
- Redmond MD, "Hypoglossal nerve conduction in normal subjects", Muscle nerve, 11, pp.447~452 (1988)
- Kim HJ, "MRI characteristics of neuromyelitis optica spectrum disorder: an international update", Neurology, 84, pp.1165~1173 (2015)
- Benito-León J, "Isolated total tongue paralysis as a manifestation of bilateral medullary infarction", J Neurol Neurosurg Psychiatry, 74, pp.1698~1699 (2003)
- Rotta FT, "Skull base metastases causing acute bilateral hypoglossal nerve palsy", J Neurol Sci, 148, pp.127~129 (1997)
- Holle D, "Neurological picture. Tongue pseudohypertrophy in idiopathic hypoglossal nerve palsy", J Neurol Neurosurg Psychiatry, 80, pp.1393~ (2009)
- Pittock SJ, "Neuromyelitis optica and non-organ-specific autoimmunity", Arch Neurol, 65, pp.78~83 (2008)
- Hummers LK, "Recurrent transverse myelitis associates with anti-Ro (SSA) autoantibodies", Neurology, 62, pp.147~149 (2004)
- Min JH, "Brain abnormalities in Sjogren syndrome with recurrent CNS manifestations:association with neuromyelitis optica", Mult Scler, 15, pp.1069~1076 (2009)