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피질뇌경색으로 발생한 단독 혀마비

Isolated Complete Tongue Paralysis as a Manifestation of Focal Cortical Infarction

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초록

Although isolated contralateral tongue deviation following unilateral cortical infarction was occasionally reported, the unilateral lesion usually produces no significant deficit of tongue motility considering bilateral supranuclear innervation of the hypoglossal nerve. We observed a patient with obvious tongue paralysis, including intrinsic muscles, caused by ischemic stroke involving the motor area of the tongue in the primary motor cortex.

Abstract

Although isolated contralateral tongue deviation following unilateral cortical infarction was occasionally reported, the unilateral lesion usually produces no significant deficit of tongue motility considering bilateral supranuclear innervation of the hypoglossal nerve. We observed a patient with obvious tongue paralysis, including intrinsic muscles, caused by ischemic stroke involving the motor area of the tongue in the primary motor cortex.

참고문헌 (7)

  1. Umapathi T, "Tongue deviation in acute ischaemic stroke: a study of supranuclear twelfth cranial nerve palsy in 300 stroke patients", Cerebrovasc Dis, 10, pp.462~465 (2000)
  2. Urban PP, "The course of cortico-hypoglossal projections in the human brainstem. Functional testing using transcranial magnetic stimulation", Brain, 119(Pt 3), pp.1031~1038 (1996)
  3. Corfield DR, "Cortical and subcortical control of tongue movement in humans:a functional neuroimaging study using fmri", J Appl Physiol, 86, pp.1468~1477 (1999)
  4. Mouradian MS, "Transient total tongue paralysis from simultaneous central and peripheral lesions", J Neurol Neurosurg Psychiatry, 70, pp.806~808 (2001)
  5. Benito-Leon J, "Isolated total tongue paralysis as a manifestation of bilateral medullary infarction", J Neurol Neurosurg Psychiatry, 74, pp.1698~1699 (2003)
  6. Yoon SS, "Neurological picture. Glossoplegia in a small cortical infarction", J Neurol Neurosurg Psychiatry, 78, pp.1372~ (2007)
  7. Muellbacher W, "The role of the intact hemisphere in recovery of midline muscles after recent monohemispheric stroke", J Neurol, 246, pp.250~256 (1999)

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