Idiopathic isolated unilateral hypoglossal nerve palsy: a diagnosis of exclusion

This report describes the rare case of a 22-year-old male with persistent idiopathic isolated hypoglossal nerve palsy. Thorough history, examination, and investigation were needed to rule out the many causes of such a presentation. The clinical presentation showed unilateral atrophy and fibrillation...

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Veröffentlicht in:Oral surgery, oral medicine, oral pathology, oral radiology and endodontics oral medicine, oral pathology, oral radiology and endodontics, 2008-07, Vol.106 (1), p.e22-e26
Hauptverfasser: Freedman, Michael, BA, BDentSc, Jayasundara, Harsha, BDS (Sri Lanka), MS(OMFS) SL, FFDRCS (Ireland), Stassen, Leo F.A., FRCS (Ed), FDSRCS, FTCD, FFSEM (UK), FFDRCSI, MA
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container_title Oral surgery, oral medicine, oral pathology, oral radiology and endodontics
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creator Freedman, Michael, BA, BDentSc
Jayasundara, Harsha, BDS (Sri Lanka), MS(OMFS) SL, FFDRCS (Ireland)
Stassen, Leo F.A., FRCS (Ed), FDSRCS, FTCD, FFSEM (UK), FFDRCSI, MA
description This report describes the rare case of a 22-year-old male with persistent idiopathic isolated hypoglossal nerve palsy. Thorough history, examination, and investigation were needed to rule out the many causes of such a presentation. The clinical presentation showed unilateral atrophy and fibrillation of the affected side and mild deviation on protrusion to the affected side. The differential diagnosis included neoplasia, trauma, infection, endocrine, autoimmune, neurologic, and vascular causes. Investigations included magnetic resonance imaging, computerized tomography scan, chest x-ray, cerebrospinal fluid culture, and a range of hematologic tests. These led to a diagnosis of persistent idiopathic isolated hypoglossal nerve palsy.
doi_str_mv 10.1016/j.tripleo.2008.02.024
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source MEDLINE; Access via ScienceDirect (Elsevier)
subjects Adult
Dentistry
Diagnosis, Differential
Humans
Hypoglossal Nerve Diseases - diagnosis
Magnetic Resonance Imaging
Male
Surgery
Tomography, X-Ray Computed
title Idiopathic isolated unilateral hypoglossal nerve palsy: a diagnosis of exclusion
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