A case of hypoglossal nerve palsy caused by a vertebral artery aneurysm found due to fasciculation of the tongue

• NAKAYAMA Hideki

  Department of Oral and Maxillofacial Surgery, Graduate School of Dental Science, Kyushu University

• KANAMOTO Masaki

  Department of Dentistry and Oral and Maxillofacial Surgery, Osumi Kanoya Hospital

• NAKAMATSU Koji

  Department of Dentistry and Oral Surgery, Iizuka Hospital

• TAKENOSHITA Yasuharu

  Department of Oral and Maxillofacial Surgery, Graduate School of Dental Science, Kyushu University

• KAWAMURA Eiji

  Department of Oral and Maxillofacial Surgery, Graduate School of Dental Science, Kyushu University

• SHIRASUNA Kanemitsu

  Department of Oral and Maxillofacial Surgery, Graduate School of Dental Science, Kyushu University

Bibliographic Information

Other Title

• 舌筋の線維束性れん縮により椎骨動脈りゅうが発見された片側性舌下神経麻ひの１例
• 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

Abstract

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.

Journal

• Japanese Journal of Oral and Maxillofacial Surgery

  Japanese Journal of Oral and Maxillofacial Surgery 51 (5), 264-267, 2005

  Japanese Society of Oral and Maxillofacial Surgeons

Keywords

• tongue
• fasciculation
• hypoglossal nerve palsy
• vertebral artery
• aneurysm

Details

• CRID: 1390282681508752384
• NII Article ID: 10018955324
• NII Book ID: AN00189163
• DOI: 10.5794/jjoms.51.264
• ISSN: 21861579
• ISSN: 00215163
• NDL BIB ID: 7370898
• Web Site: https://ndlsearch.ndl.go.jp/books/R000000004-I7370898
• Web Site: https://search.jamas.or.jp/link/ui/2006002906
• Text Lang: ja
• Data Source:
  • JaLC
  • NDL
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed