1/32. Hypoglossal schwannoma: an uncommon cause of twelfth-nerve palsy.Hypoglossal schwannoma is an uncommon cause of 12th nerve palsy. We here report a pathologically proven case of left 12th nerve schwannoma in a 56-year-old woman who presented with progressive left tongue hemiatrophy and in whom cranial MRI disclosed a mass near the foramen jugular. Surgery showed a mass involving the hypoglossal nerve and the pathological examination was diagnostic of schwannoma.- - - - - - - - - - ranking = 1keywords = tongue (Clic here for more details about this article) |
2/32. Oral ulcerations as the first sign of a foramen magnum meningioma.We report the case of a patient with oral ulcerations that were likely traumatic in origin caused by biting of the tongue. physical examination showed only deviation, fasciculations, and hemiatrophy of the right side of the tongue. neurologic examination disclosed an isolated XII nerve palsy. A magnetic resonance image showed a lesion in the posterior fossa displacing the brain stem at a bulbar level. This was consistent with the diagnosis of a meningioma, later confirmed by the histopathologic study. It is very unusual that a meningioma produces a selective involvement of the XII nerve. early diagnosis of a foramen magnum meningioma is important, both to improve prognosis and to avoid neurologic sequelae.- - - - - - - - - - ranking = 2keywords = tongue (Clic here for more details about this article) |
3/32. Simultaneous vocal fold and tongue paresis secondary to Epstein-Barr virus infection.dysphonia is a common presenting symptom in cases referred for otolaryngologic evaluation. Similarly, primary care physicians frequently see adolescents or young adults with symptomatic Epstein-Barr virus infection. Some of the patients with active Epstein-Barr virus infection who have severe clinical manifestations of infectious mononucleosis will be referred for otolaryngologic evaluation. voice abnormalities in these patients, though, are usually limited to altered resonance due to pharyngeal crowding by hyperplastic lymphoid tissue. We describe a patient with infectious mononucleosis who was referred for evaluation of dysphonia and was diagnosed with unilateral tongue and vocal fold paresis. We also discuss the patient's clinical course and review the related literature. Although uncommon, cranial nerve palsies must be considered in the patient with Epstein-Barr virus infection who presents with voice or speech disturbance. Arch Otolaryngol head neck Surg. 2000;126:1491-1494- - - - - - - - - - ranking = 5keywords = tongue (Clic here for more details about this article) |
4/32. A multifocal neurinoma of the hypoglossal nerve with motor paralysis confirmed by electromyography.A rare case of neurinoma in a 72 year-old Japanese woman derived from the hypoglossal nerve is reported. The tumour was composed of three interconnected nodules occurring simultaneously in the left submandibular and sublingual regions. The lesion, which presented as a neck mass, caused a slight left-sided hemiparesis of the tongue with tongue deviation to the affected side not noticed by the patient. An electromyographic (EMG) study revealed decreased muscle activity on the left side of the tongue muscle, indicating dysfunction of the hypoglossal nerve. EMG was useful for diagnosis.- - - - - - - - - - ranking = 3keywords = tongue (Clic here for more details about this article) |
5/32. Isolated hypoglossal nerve palsy due to internal carotid artery dissection.A case of an isolated hypoglossal nerve palsy is reported. The differential diagnosis is discussed, in the context of the requirement for careful scrutiny of the entire course of the hypoglossal nerve on imaging, to detect underlying pathology remote from the tongue, and to avoid unnecessary invasive diagnostic procedures prompted by the appearance of a 'pseudomass' of the weak tongue both clinically and radiologically.- - - - - - - - - - ranking = 2keywords = tongue (Clic here for more details about this article) |
6/32. Intralingual injection of particulate fascia for tongue paralysis.This article reports for the first time in the medical literature an intralingual injection for the treatment of tongue paralysis. Hemiatrophy of the tongue produces a disabling problem of dysarthria and dysphagia because of discoordinated tongue movement, poor contact pressure, and areas of dead space. If a reversible neurologic etiology is not found, the patient may benefit from speech therapy, although recovery is often incomplete. In this case report, repeat injections of 80 mg of 0.5 mm preserved particulate fascia (Fascian) into the paralyzed half-tongue improved lingual symmetry and the patient's overall control of the tongue.- - - - - - - - - - ranking = 9keywords = tongue (Clic here for more details about this article) |
7/32. Asymmetric tongue muscle uptake of F-18 FDG: possible marker for cranial nerve XII paralysis.A 58-year-old woman, with nonsmall cell carcinoma, had multiple metastasis on 2-F-18 FDG positron emission tomography imaging. The right hemitongue had increased activity as compared with the left. This was not the result of the presence of a metastasis to the tongue, as shown by a negative computed tomography scan of the region and failure to demonstrate a lesion over a period of weeks. Uptake was likely related to right hemiglossal muscle activity. This was made more apparent by decreased uptake on the opposite side of the tongue (up to the midline) as a result of left cranial nerve XII paralysis.- - - - - - - - - - ranking = 7keywords = tongue (Clic here for more details about this article) |
8/32. Isolated bilateral paralysis of the hypoglossal and recurrent laryngeal nerves (Bilateral Tapia's syndrome) after transoral intubation for general anesthesia.Tapia's syndrome is due to extracranial involvement of the hypoglossal nerve and the recurrent laryngeal branch of the vagal nerve. The injury of these nerves is a rare complication of anesthetic airway management. We present a patient with a postoperative bilateral hypoglossal and recurrent laryngeal nerves palsy after uncomplicated orotracheal intubation. Corticosteroid therapy was started after diagnosis. Forty-eight hours later, the movements of the vocal cords started to recover and full recovery was achieved by the fourth day. Within 3 days, tongue mobility was gradually improved and the patient's symptoms resolved completely by 4 weeks.- - - - - - - - - - ranking = 1keywords = tongue (Clic here for more details about this article) |
9/32. Tapia's syndrome caused by Paracoccidioidis brasiliensis.Tapia's syndrome is due to extracranial involvement of the XIIth nerve and the recurrent laryngeal branch of the Xth nerve. There is ipsilateral paralysis of vocal cords, soft palate and tongue. The main causes are parotid and other tumors or injuries to the high neck. We describe here a Brazilian female patient who presented with a lesion in the nasal mucosa, and soon after had dysphagia and dysphonia. Examination revealed paralysis of the soft palate, vocal cords and tongue ipsilaterally. Microscopic examination of the lesion in the nasal mucosa revealed the presence of the fungus. The patient was treated with sulfonamide and ketoconasol.- - - - - - - - - - ranking = 2keywords = tongue (Clic here for more details about this article) |
10/32. Temporal reconstruction of sonographic imaging of disturbed tongue movements.documentation of tongue movement during swallowing has been restricted to the recording of fluorographic or ultrasound images on cine- or videofilm. The new approach of temporal sonographic imaging with reconstruction of one single image for the total act of swallowing presents a direct approach to obtaining substantial information concerning tongue movements and motility. The applicability of this reconstructed image for the documentation, interpretation, and comparison of tongue movements is demonstrated using examples of normal and pathologic swallowing.- - - - - - - - - - ranking = 7keywords = tongue (Clic here for more details about this article) |
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