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http://dx.doi.org/10.3345/kjp.2011.54.12.515

A case of idiopathic isolated hypoglossal nerve palsy in a Korean child  

Yoon, Ji-Hoi (Department of Pediatrics, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine)
Cho, Kyung-Lae (Department of Pediatrics, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine)
Lee, Hae-Jung (Department of Pediatrics, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine)
Choi, Seo-Hui (Department of Pediatrics, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine)
Lee, Kyung-Yul (Department of Physical Education, Kyungnam University College of Education)
Kim, Sung-Koo (Department of Pediatrics, Kangnam Sacred Heart Hospital, Hallym University College of Medicine)
Lee, Jun-Hwa (Department of Pediatrics, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine)
Publication Information
Clinical and Experimental Pediatrics / v.54, no.12, 2011 , pp. 515-517 More about this Journal
Abstract
Hypoglossal nerve palsy (HNP) is an uncommon neurological abnormality that can provoke characteristic clinical signs, including unilateral atrophy of the tongue musculature. We present the case of a healthy 11-year-old Korean male who was admitted to the outpatient department of our institution with acute onset dysarthria, tongue fasciculations, and right-sided tongue weakness upon awakening. His evaluation included a virology work-up, neck magnetic resonance imaging (MRI), brain MRI, and otorhinolaryngological physical examination; all tests were normal and showed no evidence of inflammation. Fifteen days after the onset of symptoms, the patient recovered completely. Herein, we report a case of idiopathic isolated HNP in a Korean male.
Keywords
Hypoglossal nerve; Palsy; Child;
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  • Reference
1 Cushing H. The surgical treatment of facial paralysis by nerve anastomosis: with the report of a successful case. Ann Surg 1903;37:641-59.
2 Keane JR. Twelfth-nerve palsy. Analysis of 100 cases. Arch Neurol 1996; 53:561-6.   DOI   ScienceOn
3 Boban M, Brinar VV, Habek M, Rados M. Isolated hypoglossal nerve palsy: a diagnostic challenge. Eur Neurol 2007;58:177-81.   DOI   ScienceOn
4 Combarros O, Alvarez de Arcaya A, Berciano J. Isolated unilateral hypoglossal nerve palsy: nine cases. J Neurol 1998;245:98-100.   DOI   ScienceOn
5 Tommasi-Davenas C, Vighetto A, Confavreux C, Aimard G. Causes of paralysis of the hypoglossal nerve. Apropos of 32 cases. Presse Med 1990; 19:864-8.
6 Tucker D, Musuka C. Isolated 12th cranial nerve palsy as a complication of multiple myeloma. Br J Haematol 2004;124:1.   DOI   ScienceOn
7 Adams H, Verhoff MA, Hagemeyer TP, Müller KM. Arachnoid cyst with consecutive brain stem atrophy, hypoglossal nerve paresis and tongue atrophy. Pathologe 2001;22:266-9.   DOI   ScienceOn
8 Singh S, Shankar RR, Singhi PD, Kumar L. Isolated hypoglossal nerve palsy in pyogenic meningitis. Indian Pediatr 1988;25:705-6.
9 Cheng VS, Schultz MD. Unilateral hypoglossal nerve atrophy as a late complication of radiation therapy ofhead and neck carcinoma: a report of four cases and a review of the literature on peripheral and cranial nerve damages after radiation therapy. Cancer 1975;35:1537-44.   DOI   ScienceOn
10 Parano E, Giuffrida S, Restivo D, Saponara R, Greco F, Trifiletti RR. Reversible palsy of the hypoglossal nerve complicating infectious mononucleosis in a young child. Neuropediatrics 1998;29:46-7.   DOI   ScienceOn
11 Wright GD, Lee KD. An isolated right hypoglossal nerve palsy in association with infectious mononucleosis. Postgrad Med J 1980;56:185-6.   DOI   ScienceOn
12 Hadjikoutis S, Jayawant S, Stoodley N. Isolated hypoglossal nerve palsy in a 14-year-old girl. Eur J Paediatr Neurol 2002;6:225-8.   DOI   ScienceOn
13 Felix JK, Schwartz RH, Myers GJ. Isolated hypoglossal nerve paralysis following influenza vaccination. Am J Dis Child 1976;130:82-3.
14 Thomke F, Lensch E, Ringel K, Hopf HC. Isolated cranial nerve palsies in multiple sclerosis. J Neurol Neurosurg Psychiatry 1997;63:682-5.   DOI   ScienceOn
15 Giuffrida S, Lo Bartolo ML, Nicoletti A, Reggio E, Lo Fermo S, Restivo DA, et al. Isolated, unilateral, reversible palsy of the hypoglossal nerve. Eur J Neurol 2000;7:347-9.   DOI   ScienceOn