Something Got Your Tongue? A Unique Cause of Hypoglossal Nerve Palsy
Introduction. The authors report a rare cause of isolated hypoglossal nerve palsy caused by a high cervical osteophyte. This case increases clinical knowledge of an underreported condition and teaches the clinician radiologic pearls in making the diagnosis. To their knowledge, this is the first case...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2022-01-01
|
| Series: | Case Reports in Neurological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2022/2884145 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850222448500277248 |
|---|---|
| author | Alan Tesson Peter Kranz Ali Zomorodi Joel Morgenlander |
| author_facet | Alan Tesson Peter Kranz Ali Zomorodi Joel Morgenlander |
| author_sort | Alan Tesson |
| collection | DOAJ |
| description | Introduction. The authors report a rare cause of isolated hypoglossal nerve palsy caused by a high cervical osteophyte. This case increases clinical knowledge of an underreported condition and teaches the clinician radiologic pearls in making the diagnosis. To their knowledge, this is the first case report showing surgical remediation of this condition. Symptoms and Clinical Findings. A 73-year-old female presented with several months of occipital headache, progressive dysarthria, dysphagia, and tongue deviation to the right. Her neurologic exam was significant for atrophy of the right hemitongue with tongue fasciculations. On protrusion, her tongue deviated rightward. Diagnosis and Therapeutic Intervention. Careful review of her initial head computed tomography (CT) imaging revealed that a high cervical osteophyte caused unilateral, isolated hypoglossal nerve palsy. Neurosurgery performed a right, far lateral approach for decompression of this osteophyte and over the ensuing months her symptoms improved. Conclusion. High cervical osteophyte is an underrecognized cause of isolated hypoglossal nerve palsy. The imaging investigation should be systematic and focus on the skull base with magnetic resonance imaging (MRI) or CT. This is a rare occasion when high resolution CT of the skull base can actually be the more helpful imaging modality. As shown in this case, an osteoarthritic cause can be surgically ameliorated. |
| format | Article |
| id | doaj-art-6f0ae8e6bdea45d3b6b99619f4ffa705 |
| institution | OA Journals |
| issn | 2090-6676 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Neurological Medicine |
| spelling | doaj-art-6f0ae8e6bdea45d3b6b99619f4ffa7052025-08-20T02:06:20ZengWileyCase Reports in Neurological Medicine2090-66762022-01-01202210.1155/2022/2884145Something Got Your Tongue? A Unique Cause of Hypoglossal Nerve PalsyAlan Tesson0Peter Kranz1Ali Zomorodi2Joel Morgenlander3Inova Neuroscience Service LineDepartment of RadiologyDepartment of NeurosurgeryDepartment of NeurologyIntroduction. The authors report a rare cause of isolated hypoglossal nerve palsy caused by a high cervical osteophyte. This case increases clinical knowledge of an underreported condition and teaches the clinician radiologic pearls in making the diagnosis. To their knowledge, this is the first case report showing surgical remediation of this condition. Symptoms and Clinical Findings. A 73-year-old female presented with several months of occipital headache, progressive dysarthria, dysphagia, and tongue deviation to the right. Her neurologic exam was significant for atrophy of the right hemitongue with tongue fasciculations. On protrusion, her tongue deviated rightward. Diagnosis and Therapeutic Intervention. Careful review of her initial head computed tomography (CT) imaging revealed that a high cervical osteophyte caused unilateral, isolated hypoglossal nerve palsy. Neurosurgery performed a right, far lateral approach for decompression of this osteophyte and over the ensuing months her symptoms improved. Conclusion. High cervical osteophyte is an underrecognized cause of isolated hypoglossal nerve palsy. The imaging investigation should be systematic and focus on the skull base with magnetic resonance imaging (MRI) or CT. This is a rare occasion when high resolution CT of the skull base can actually be the more helpful imaging modality. As shown in this case, an osteoarthritic cause can be surgically ameliorated.http://dx.doi.org/10.1155/2022/2884145 |
| spellingShingle | Alan Tesson Peter Kranz Ali Zomorodi Joel Morgenlander Something Got Your Tongue? A Unique Cause of Hypoglossal Nerve Palsy Case Reports in Neurological Medicine |
| title | Something Got Your Tongue? A Unique Cause of Hypoglossal Nerve Palsy |
| title_full | Something Got Your Tongue? A Unique Cause of Hypoglossal Nerve Palsy |
| title_fullStr | Something Got Your Tongue? A Unique Cause of Hypoglossal Nerve Palsy |
| title_full_unstemmed | Something Got Your Tongue? A Unique Cause of Hypoglossal Nerve Palsy |
| title_short | Something Got Your Tongue? A Unique Cause of Hypoglossal Nerve Palsy |
| title_sort | something got your tongue a unique cause of hypoglossal nerve palsy |
| url | http://dx.doi.org/10.1155/2022/2884145 |
| work_keys_str_mv | AT alantesson somethinggotyourtongueauniquecauseofhypoglossalnervepalsy AT peterkranz somethinggotyourtongueauniquecauseofhypoglossalnervepalsy AT alizomorodi somethinggotyourtongueauniquecauseofhypoglossalnervepalsy AT joelmorgenlander somethinggotyourtongueauniquecauseofhypoglossalnervepalsy |