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Bilateral Hypoglossal Palsies: A Late Complication of Curative Radiotherapy

Published online by Cambridge University Press:  18 September 2015

Eamon F. Johnston
Affiliation:
Departments of Oncology and Clinical Neurological Sciences, University of Western Ontario and London Regional Cancer Centre, London
Alex J. Hammond
Affiliation:
Departments of Oncology and Clinical Neurological Sciences, University of Western Ontario and London Regional Cancer Centre, London
J. Gregory Cairncross*
Affiliation:
Departments of Oncology and Clinical Neurological Sciences, University of Western Ontario and London Regional Cancer Centre, London
*
London Regional Cancer Centre, 790 Commissioners Road East, London, Ontario, Canada N6A 4L6
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Abstract:

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A 57 year old man developed bilateral hypoglossal nerve palsies 6 years after radiotherapy for carcinoma of the uvula. Follow-up over 2 years has demonstrated no evidence of tumour recurrence and no sign of neurological improvement. Reactive fibrosis and vascular insufficiency secondary to radiation and may have lead to hypoglossal nerve compression and infarction.

Type
Original Articles
Copyright
Copyright © Canadian Neurological Sciences Federation 1989

References

REFERENCES

1.Cheng, VST, Schulz, MD.Unilateral hypoglossal nerve atrophy as a late complication of radiation therapy of head 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: 15371544.3.0.CO;2-L>CrossRefGoogle Scholar
2.Berger, PS, Battaini, JP.Radiation-induced cranial nerve palsy. Cancer 1977; 40: 152155.3.0.CO;2-E>CrossRefGoogle ScholarPubMed
3.Schukovsky, LJ, Fletcher, GH.Retinal and optic nerve complications in a high dose radiation technique of ethmoid sinus and nasal cavity. Radiology 1972; 104: 629634.CrossRefGoogle Scholar
4.Ross, HS, Rosenberg, S, Friedman, AH.Delayed radiation necrosis of the optic nerve. Am J Ophthal 1973; 76: 683686.CrossRefGoogle ScholarPubMed
5.Craswell, PWT.Vocal cord paresis following radioactive iodine therapy. Br J Clin Pract 1972; 26: 571572.CrossRefGoogle ScholarPubMed
6.Westbrook, KC, Ballantyne, AJ, Eckler, NE, et al. Breast cancer and vocal cord paralysis. South Med J 1974; 67: 805807.CrossRefGoogle ScholarPubMed