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 |
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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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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.</description><subject>Adult</subject><subject>Dentistry</subject><subject>Diagnosis, Differential</subject><subject>Humans</subject><subject>Hypoglossal Nerve Diseases - diagnosis</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Surgery</subject><subject>Tomography, X-Ray Computed</subject><issn>1079-2104</issn><issn>1528-395X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU-LFDEQxYMo7h_9CEqfvPVYSSfpjgdFFnddWHBhFbyFdFK9mzHTaZPuxfn2m2YGBC9CQd7hvarUrwh5Q2FDgcr3282c_BQwbhhAtwFWij8jp1Swrm6U-Pm8aGhVzSjwE3KW8xYAZKPUS3JCO9EJCe0pub12Pk5mfvC28jkGM6OrltGvIplQPeyneB9izkWPmB6xmkzI-w-VqZw392PMPldxqPCPDUv2cXxFXgzFga-P7zn5cfnl-8XX-ubb1fXF55va8o7PtQA2gBLGKlA9s40FoxrZCMecbQcQpqctOmldD5bSQZaPd0o2Ehly4L1qzsm7Q98pxd8L5lnvfLYYghkxLllLxVreSFaM4mC0qayRcNBT8juT9pqCXlHqrT6i1CtKDawUL7m3xwFLv0P3N3VkVwyfDgYsaz56TDpbj6NF5xPaWbvo_zvi4z8dbPCjtyb8wj3mbVzSWBhqqnMJ6Lv1nus5oQNg0PHmCRManaM</recordid><startdate>20080701</startdate><enddate>20080701</enddate><creator>Freedman, Michael, BA, BDentSc</creator><creator>Jayasundara, Harsha, BDS (Sri Lanka), MS(OMFS) SL, FFDRCS (Ireland)</creator><creator>Stassen, Leo F.A., FRCS (Ed), FDSRCS, FTCD, FFSEM (UK), FFDRCSI, MA</creator><general>Mosby, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20080701</creationdate><title>Idiopathic isolated unilateral hypoglossal nerve palsy: a diagnosis of exclusion</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c484t-502f095ac909b2c3c0a93635d2dc7f05ab17ed6cdb0c11f663989636e2e404b93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adult</topic><topic>Dentistry</topic><topic>Diagnosis, Differential</topic><topic>Humans</topic><topic>Hypoglossal Nerve Diseases - diagnosis</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Surgery</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Freedman, Michael, BA, BDentSc</creatorcontrib><creatorcontrib>Jayasundara, Harsha, BDS (Sri Lanka), MS(OMFS) SL, FFDRCS (Ireland)</creatorcontrib><creatorcontrib>Stassen, Leo F.A., FRCS (Ed), FDSRCS, FTCD, FFSEM (UK), FFDRCSI, MA</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Oral surgery, oral medicine, oral pathology, oral radiology and endodontics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Freedman, Michael, BA, BDentSc</au><au>Jayasundara, Harsha, BDS (Sri Lanka), MS(OMFS) SL, FFDRCS (Ireland)</au><au>Stassen, Leo F.A., FRCS (Ed), FDSRCS, FTCD, FFSEM (UK), FFDRCSI, MA</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Idiopathic isolated unilateral hypoglossal nerve palsy: a diagnosis of exclusion</atitle><jtitle>Oral surgery, oral medicine, oral pathology, oral radiology and endodontics</jtitle><addtitle>Oral Surg Oral Med Oral Pathol Oral Radiol Endod</addtitle><date>2008-07-01</date><risdate>2008</risdate><volume>106</volume><issue>1</issue><spage>e22</spage><epage>e26</epage><pages>e22-e26</pages><issn>1079-2104</issn><eissn>1528-395X</eissn><abstract>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.</abstract><cop>United States</cop><pub>Mosby, Inc</pub><pmid>18585607</pmid><doi>10.1016/j.tripleo.2008.02.024</doi></addata></record> |
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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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