Isolated tubercular hypoglossal nerve paralysis

Hypoglossal nerve palsy is not an uncommon neurological finding but primary nasopharyngeal tuberculosis (TB) presenting as hypoglossal nerve palsy is very rare. A 31-year-old woman presented with headache and progressive tongue deviation towards the right side. Diagnostic nasal endoscopy revealed soft tissue mass lesion on the posterior wall of nasopharynx while MRI revealed isointense tumour in nasopharynx with normal hypoglossal nerve and brain. Histopathological examination found TB. We discuss the clinical challenges and possible pathogenesis of this rare clinical entity.

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Isolated Hypoglossal Nerve Palsy Due to Metastatic Germinoma in the Neck: A Ventriculoatrial Shunt-related Complication

Neurosurgery ◽

10.1227/00006123-198808000-00021 ◽

1988 ◽

Vol 23 (2) ◽

pp. 237-240 ◽

Cited By ~ 7

Author(s):

Edmund Woo ◽

Yuk-Ling Yu

Keyword(s):

Nerve Palsy ◽

Hypoglossal Nerve ◽

Jugular Vein ◽

Vascular Tumor ◽

Neck Mass ◽

Ventriculoatrial Shunt ◽

Related Complication ◽

Hypoglossal Nerve Palsy ◽

Suprasellar Germinoma ◽

The Right

ABSTRACT A 12-year-old boy with suprasellar germinoma was treated with a right-sided ventriculoatrial shunt at diagnosis. He subsequently developed a metastatic neck mass that presented with an isolated right hypoglossal nerve palsy. Radiological investigations showed a vascular tumor and thrombosis of the right internal jugular vein. It is hypothesized that thrombosis at the venous inflow channel allowed local proliferation of the tumor cells that exited from the intracranial cavity via the shunt.

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Hypoglossal nerve palsy after gasless trans-axillary endoscopic thyroidectomy: a case report

BMC Surgery ◽

10.1186/s12893-021-01114-5 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Qiao-Fei Liu ◽

Zhe-Wei Zhao ◽

Ming Cui ◽

Sen Yang ◽

Quan Liao

Keyword(s):

Thyroid Carcinoma ◽

Nerve Palsy ◽

Hypoglossal Nerve ◽

Endoscopic Thyroidectomy ◽

Vitamin B1 ◽

Needle Aspiration ◽

Hypoglossal Nerve Palsy ◽

First Case ◽

Benign Goiter ◽

The Right

Abstract Background Gasless trans-axillary endoscopic thyroidectomy (GTAET) has satisfactory cosmetic effects for the patients who have benign goiter and small thyroid carcinoma, however the complications of this surgical procedure have not been fully documented. Ipsilateral hypoglossal nerve palsy (IHNP) associated with GTAET has never been reported before. Case presentation A 33-year old male patient presented with a 4 × 5 mm solid thyroid nodule in the right lobe. Papillary thyroid carcinoma was confirmed by the fine needle aspiration. He had strong cosmetic demand, therefore GTAET for right lobectomy and central cervical lymphadenectomy was performed in a supine position with cervical extension. Six hours after the operation, he developed tongue deviation to the right side, speech and swallowing difficulties, indicating IHNP. Head and cervical MRI showed no abnormality. The intravenous steroid was used for three days, and oral vitamin B1 and mecobalamin was prescribed for 1 month. Nine days after surgery, he was discharged. Three months after the operation, all the symptoms were completely resolved. Conclusions To the best of the authors’ knowledge, this is the first case of IHNP after GTAET, which will be valuable to add our knowledge to diagnose and treat rare complications of GTAET.

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Carotid body Tumour with Hypoglossal Nerve Palsy- A Case Report

Bangladesh Heart Journal ◽

10.3329/bhj.v34i1.41910 ◽

2019 ◽

Vol 34 (1) ◽

pp. 68-72

Author(s):

Kaisar Haroon ◽

Tania Taher ◽

Shafiul Alam ◽

Naila Huq ◽

Sk Sader Hossain

Keyword(s):

Case Report ◽

Carotid Body ◽

Nerve Palsy ◽

Hypoglossal Nerve ◽

Benign Lesion ◽

Carotid Body Tumour ◽

Rare Tumour ◽

Hypoglossal Nerve Palsy ◽

The Right ◽

High Level

Objective: Carotid body tumour is a rare tumour. This is a case report of carotid body tumour of the right side involving the right hypoglossal nerve with MRI appearance and pathological features. The objective is to present a case of Hypoglossal nerve palsy due to carotid body tumour involving the right carotid artery bifurcation. Method: A 18-year old male presented with a welldefined swelling of his right neck, increasing hoarseness, and left ward tongue deviation on protrusion present for two years CT neck and MRI were done. The tumour was identified and the patient underwent surgery. His Histopathology report commented it to be carotid body tumour. Result: The patient showed significant improvement after surgery. His tongue deviation improved and his hoarseness of voice had been begun to improve. Conclusion: Carotid body tumours are benign lesion mimicking other pathology. High level of suspicision, imaging and careful resection is important for avoiding complications. Bangladesh Heart Journal 2019; 34(1) : 68-72

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Nevus lipomatosus cutaneous superficialis presenting as papilloma: A case report

IP Indian Journal of Clinical and Experimental Dermatology ◽

10.18231/j.ijced.2021.069 ◽

2021 ◽

Vol 7 (4) ◽

pp. 367-369

Author(s):

Shagufta Tahir Mufti ◽

Shreya Mehdiratta ◽

Salim Tahir ◽

M.M.A. Faridi

Keyword(s):

Adipose Tissue ◽

Rare Case ◽

Soft Tissue Mass ◽

Histopathological Examination ◽

Review Of Literature ◽

Tissue Mass ◽

Dermal Collagen ◽

History Of ◽

Smooth Skin ◽

The Right

Nevus Lipomatosus Cutaneous Superficialis (NLCS) is an uncommon hamartomatous lesion of the skin. NLCS is classified into two clinical forms classic and solitary. Some authors consider this lesion as a type of connective tissue nevus. We report a rare case of solitary NLCS in a 69 year old male with a long history of pedunculated swelling in the right gluteal cleft with review of literature. On gross appearance the lesion was a grey brown, exophytic, cerebriform, smooth skin covered soft tissue mass measuring 4.5 cms in the largest dimension with a broad peduncle attached. On histopathological examination the lesion showed superficial and deep dermal infiltration of the adipose tissue with distortion of the dermal collagen.

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Isolated Hypoglossal Nerve Palsy due to Infected Impacted Tooth

Case Reports in Medicine ◽

10.1155/2009/231947 ◽

2009 ◽

Vol 2009 ◽

pp. 1-4 ◽

Cited By ~ 2

Author(s):

Farhan Durrani ◽

Royana Singh

Keyword(s):

Differential Diagnosis ◽

Nerve Palsy ◽

Hypoglossal Nerve ◽

Rare Condition ◽

Impacted Tooth ◽

Hypoglossal Nerve Palsy ◽

Floor Of The Mouth ◽

The Right

Case of isolated hypoglossal nerve palsy is an extremely rare condition. There are several causes that can be attributed to it. We present a case where a patient presented herself with swelling on the right side of her cheek extending to the floor of the mouth, with unilateral right hypoglossal nerve palsy. Removal of the impacted tooth resulted in the improvement of function of the hypoglossal nerve. The transient isolated hypoglossal nerve palsy could have been due to the infected impacted tooth. Therefore, the dentist or doctors coming across with isolated hypoglossal nerve palsy should consider the infected impacted tooth as the differential diagnosis.

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Primary vesical actinomycosis with changes of cystitis cystica presenting as bladder mass

Indian Journal of Medical Sciences ◽

10.25259/ijms_47_2021 ◽

2021 ◽

Vol 0 ◽

pp. 1-4

Author(s):

Nagendra Mishra ◽

Henil Upadhyay ◽

Charmy Parikh

Keyword(s):

Soft Tissue ◽

Urinary Bladder ◽

Soft Tissue Mass ◽

Histopathological Examination ◽

Bladder Wall ◽

Tissue Mass ◽

Rare Differential Diagnosis ◽

The Right ◽

Cystitis Cystica ◽

Bladder Mass

Actinomycosis is a rare chronic granulomatous suppurative infection caused by Gram-positive bacteria. The occurrence of primary vesical actinomycosis is extremely rare and only a few cases have been reported. Pre-operative diagnosis of vesical actinomycosis is challenging as the clinical and radiological features usually point towards bladder malignancy. Therefore, in most cases, definitive diagnosis is usually made after histopathological examination of the involved tissue. A 60-year-old male presented with complaints of hematuria, burning micturition, irritative, and obstructive urinary symptoms for 15 days. USG revealed a large soft-tissue mass having a polypoidal intraluminal and extraluminal component and involving the right posterolateral urinary bladder wall. CT scan showed a large irregular soft-tissue mass with multiple cystic lesions involving the right lateral wall of the urinary bladder. Transurethral resection of bladder mass biopsy was performed and the histopathological examination showed bacterial colonies of Actinomyces with changes of cystitis cystica. The patient was treated with amoxicillin and potassium clavulanate for 3 months. Actinomycosis should be kept as a rare differential diagnosis in cases presenting as bladder mass. The diagnosis is most commonly made by histopathology and may need a repeat biopsy to arrive at the correct diagnosis. The patient should be treated by penicillin group of antibiotics for 2–3 months and followed up for years to detect any recurrence.

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Primary intratracheal neurilemmoma in a ten-year-old girl: case report and literature review

10.22541/au.160614908.82425728/v1 ◽

2020 ◽

Author(s):

Lei Wu ◽

Micun Sha ◽

xiling wu ◽

Jing Bi ◽

Min Yang ◽

...

Keyword(s):

Clinical Symptoms ◽

Soft Tissue Mass ◽

Immunohistochemical Analysis ◽

Posterior Wall ◽

Tissue Mass ◽

Long Time ◽

Lateral Posterior ◽

The Right ◽

Symptoms And Signs

Primary intratracheal neurilemmoma is rare in children. Here, we reported a case of tracheal neurilemmoma in a 10-year-old girl. She had recurrent cough, dyspnea, and tachypnea. Magnetic resonance imaging revealed a soft-tissue mass was located on the right lateral posterior wall of the trachea. A multidisciplinary operation was performed. Immunohistochemical analysis demonstrated a benign neurilemmoma. Her clinical symptoms and signs improved. We reviewed the clinical features and surgical procedures of ten children with intratracheal neurilemmoma reported in literature. Radiographic techniques and bronchoscopy are helpful for diagnosis of the disease. Long-time follow-up is required.

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Ocular Inflammatory Myofibroblastic Tumor in the Left Eye with Phthisis Right Eye: A Rare Occurrence in a Child

Case Reports in Ophthalmological Medicine ◽

10.1155/2015/281528 ◽

2015 ◽

Vol 2015 ◽

pp. 1-5 ◽

Cited By ~ 1

Author(s):

Sangeeta Shah ◽

Badri Prasad Badhu ◽

Poonam Lavaju ◽

Anju Pradhan

Keyword(s):

Inflammatory Myofibroblastic Tumor ◽

Soft Tissue Mass ◽

Histopathological Examination ◽

Rare Occurrence ◽

Medial Canthus ◽

Local Growth ◽

Anterior Portion ◽

Tissue Mass ◽

Lateral Canthus ◽

The Right

Inflammatory myofibroblastic tumor (IMT) is a benign pseudoneoplastic inflammatory condition with the potential for persistent local growth and recurrence that rarely affects the orbit. We report a very rare case of anterior orbital IMT in a child who presented with gradually progressive mass in left eye for 16 months. Ocular examination showed a cauliflower like exophytic mass at 360 degrees of the perilimbal area covering the entire cornea and obscuring the visualization of anterior and posterior segments. The right eye was phthisical. CT scan showed a lobulated exophytic soft tissue mass in the preseptal region and along the anterior portion of the left globe extending from medial canthus to the lateral canthus. Enucleation of the left eye was performed and the histopathological examination confirmed the diagnosis of IMT. This report aims to raise awareness about this rare ocular entity and emphasizes its early treatment as delay can result in loss of the eye.

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