Unilateral Isolated Hypoglossal Nerve Palsy Secondary to Tonsillitis.
| Autor: | Kawaura R; Department of Head and Neck Surgery-Otolaryngology, Ogaki Municipal Hospital, Ogaki, JPN., Ohnishi M; Department of Head and Neck Surgery-Otolaryngology, Ogaki Municipal Hospital, Ogaki, JPN. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2021 Dec 09; Vol. 13 (12), pp. e20291. Date of Electronic Publication: 2021 Dec 09 (Print Publication: 2021). |
| DOI: | 10.7759/cureus.20291 |
| Abstrakt: | Hypoglossal nerve palsy is usually associated with glossopharyngeal nerve, vagus nerve, and accessory nerve palsy, and the occurrence of hypoglossal nerve palsy alone is rare. We report a case of a 41-year-old man with unilateral isolated hypoglossal nerve palsy. The patient was aware of a leftward deviation of the tongue along with pharyngeal pain. The pharyngeal pain was quickly relieved by antibiotic treatment, but the deviation of the tongue did not improve, and the patient was referred to our hospital. As a result of the medical examination, a single paralysis of the left hypoglossal nerve and mild swelling of the left lingual tonsil up to the left palatine tonsil were observed. Various tests were performed, but there were no significant abnormal findings other than a suggestion of mild tonsillitis. We diagnosed the patient as idiopathic or tonsillitis-induced unilateral hypoglossal nerve palsy and started medical treatment with corticosteroids and methylcobalamin. The hypoglossal nerve palsy showed a tendency to improve after one month of onset and was almost cured by two months of onset. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2021, Kawaura et al.) |
| Databáze: | MEDLINE |
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