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Isolated hypoglossal nerve palsy due to internal carotid artery dissection

Published online by Cambridge University Press:  08 March 2006

Shahab ,
Savy ,
Croft  and
Hung
Shahab
Affiliation:
Royal National Throat Nose and Ear Hospital, Gray’s Inn Road, London, UK
Savy
Affiliation:
Royal National Throat Nose and Ear Hospital, Gray’s Inn Road, London, UK
Croft
Affiliation:
Royal National Throat Nose and Ear Hospital, Gray’s Inn Road, London, UK
Hung
Affiliation:
Royal National Throat Nose and Ear Hospital, Gray’s Inn Road, London, UK
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Abstract

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.

Keywords

Hypoglossal NerveParalysis CarotidArteryInternalArteriosclerosis
Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 115 , Issue 7 , July 2001 , pp. 587 - 589
Copyright
© Royal Society of Medicine Press Limited 2001

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