書誌事項
- タイトル別名
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- A case of hypoglossal nerve palsy caused by a vertebral artery aneurysm found due to fasciculation of the tongue
- ショウレイ ホウコク ゼツキン ノ センイ ソクセイレンシュク ニ ヨリ ツイコツ ドウミャクリュウ ガ ハッケン サレタ カタガワセイ ゼッカ シンケイ マヒ ノ 1レイ
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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
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- 日本口腔外科学会雑誌
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日本口腔外科学会雑誌 51 (5), 264-267, 2005
社団法人 日本口腔外科学会
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詳細情報 詳細情報について
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- CRID
- 1390282681508752384
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- NII論文ID
- 10018955324
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- NII書誌ID
- AN00189163
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- ISSN
- 21861579
- 00215163
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- NDL書誌ID
- 7370898
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- NDL
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- CiNii Articles
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- 使用不可