舌筋の線維束性攣縮により椎骨動脈瘤が発見された片側性舌下神経麻痺の1例 A case of hypoglossal nerve palsy caused by a vertebral artery aneurysm found due to fasciculation of the tongue

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著者

    • 中山 秀樹 NAKAYAMA Hideki
    • 九州大学大学院歯学研究院顎顔面病態学講座口腔顎顔面外科学分野 Department of Oral and Maxillofacial Surgery, Graduate School of Dental Science, Kyushu University
    • 竹之下 康治 TAKENOSHITA Yasuharu
    • 九州大学大学院歯学研究院顎顔面病態学講座口腔顎顔面外科学分野 Department of Oral and Maxillofacial Surgery, Graduate School of Dental Science, Kyushu University
    • 川村 英司 KAWAMURA Eiji
    • 九州大学大学院歯学研究院顎顔面病態学講座口腔顎顔面外科学分野 Department of Oral and Maxillofacial Surgery, Graduate School of Dental Science, Kyushu University
    • 白砂 兼光 SHIRASUNA Kanemitsu
    • 九州大学大学院歯学研究院顎顔面病態学講座口腔顎顔面外科学分野 Department of Oral and Maxillofacial Surgery, Graduate School of Dental Science, Kyushu University

抄録

Hypoglossal nerve palsy (HNP) with fasciculation of the tongue is unusual, but occasionally occurs as the initial or solitary sign of an intracranial lesion. We report a case of HNP caused by a vertebral artery aneurysm which was found due to fasciculation of the tongue. A 40-year-old man was referred to Iizuka Hospital because of lingual deviation and slight dysarthria. Intraoral examination showed hemiatrophy in the right side of the tongue with fasciculation and deviation towards the right side on protrusion. There were no other clinically significant neurological findings. Magnetic resonance imaging and an angiographic examination revealed a vertebral artery aneurysm, which was treated by proximal arterial occlusion of the vertebral artery to prevent rupture and subsequent subarachnoid hemorrhage. The postoperative course was favorable, without any serious sequelae. This case demonstrates the importance of investigating the possibility of intracranial lesions in patients who have HNP with fasciculation of the tongue.

収録刊行物

  • 日本口腔外科学会雑誌  

    日本口腔外科学会雑誌 51(5), 264-267, 2005-05-20 

    Japanese Society of Oral and Maxillofacial Surgeons

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各種コード

  • NII論文ID(NAID)
    10018955324
  • NII書誌ID(NCID)
    AN00189163
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    00215163
  • NDL 記事登録ID
    7370898
  • NDL 雑誌分類
    ZS44(科学技術--医学--歯科学・口腔外科学)
  • NDL 請求記号
    Z19-145
  • データ提供元
    CJP書誌  NDL  J-STAGE 
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