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

BMC Surgery ◽  
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.

scholarly journals Isolated Hypoglossal Nerve Palsy Due to Endovascular Treatment of a Dural Arteriovenous Fistula with Onyx-18

2010 ◽  
Vol 16 (3) ◽  
pp. 286-289 ◽  
Author(s):  
W. Pei ◽  
S. Huai-Zhang ◽  
X. Shan-Cai ◽  
G. Cheng ◽  
Z. Di
Keyword(s):  
Endovascular Treatment ◽  
Arteriovenous Fistula ◽  
Nerve Palsy ◽  
Dural Arteriovenous Fistula ◽  
Hypoglossal Nerve ◽  
Transvenous Embolization ◽  
Prednisolone Therapy ◽  
Hypoglossal Nerve Palsy ◽  
Hypoglossal Canal ◽  
First Case

We describe a patient with dural arteriovenous fistula (DAVF) treated with Onyx-18 who developed isolated hypoglossal nerve palsy. This is the first case of isolated hypoglossal nerve palsy caused by Onyx-18 embolization. This complication suggests that over embolization with Onyx-18 in the treatment of hypoglossal canal DAVFs should be avoided, and transvenous embolization may be safer. Furthermore, prednisolone therapy should be carried out in the prophase of nerve palsy.

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

Neurosurgery ◽  
1988 ◽  
Vol 23 (2) ◽  
pp. 237-240 ◽  
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.

scholarly journals Carotid body Tumour with Hypoglossal Nerve Palsy- A Case Report

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

Isolated tubercular hypoglossal nerve paralysis

2016 ◽  
Vol 47 (3) ◽  
pp. 255-260 ◽  
Author(s):  
JS Thakur ◽  
Naina Verma ◽  
Shobha Mohindroo ◽  
Ramesh K Azad ◽  
NK Mohindroo
Keyword(s):  
Nerve Palsy ◽  
Hypoglossal Nerve ◽  
Soft Tissue Mass ◽  
Histopathological Examination ◽  
Posterior Wall ◽  
Tissue Mass ◽  
Nerve Paralysis ◽  
Hypoglossal Nerve Palsy ◽  
Neurological Finding ◽  
The Right

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.

scholarly journals Unilateral Hypoglossal Nerve Palsy after Use of the Laryngeal Mask Airway Supreme

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Kenichi Takahoko ◽  
Hajime Iwasaki ◽  
Tomoki Sasakawa ◽  
Akihiro Suzuki ◽  
Hideki Matsumoto ◽  
...  
Keyword(s):  
Laryngeal Mask Airway ◽  
Nerve Palsy ◽  
Hypoglossal Nerve ◽  
Cuff Pressure ◽  
Pressure Gauge ◽  
Laryngeal Mask ◽  
Intracuff Pressure ◽  
Hypoglossal Nerve Palsy ◽  
First Case ◽  
Lma Supreme

Purpose.Hypoglossal nerve palsy after use of the laryngeal mask airway (LMA) is an exceptionally rare complication. We present the first case of unilateral hypoglossal nerve palsy after use of the LMA Supreme.Clinical Features.A healthy 67-year-old female was scheduled for a hallux valgus correction under general anesthesia combined with femoral and sciatic nerve blocks. A size 4 LMA Supreme was inserted successfully at the first attempt and the cuff was inflated with air at an intracuff pressure of 60 cmH2O using cuff pressure gauge. Anesthesia was maintained with oxygen, nitrous oxide (67%), and sevoflurane under spontaneous breathing. The surgery was uneventful and the duration of anesthesia was two hours. The LMA was removed as the patient woke and there were no immediate postoperative complications. The next morning, the patient complained of dysarthria and dysphasia. These symptoms were considered to be caused by the LMA compressing the nerve against the hyoid bone. Conservative treatment was chosen and the paralysis recovered completely after 5 months.Conclusion.Hypoglossal nerve injury may occur despite correct positioning of the LMA under the appropriate intracuff pressure. A follow-up period of at least 6 months should be taken into account for the recovery.

scholarly journals Isolated Hypoglossal Nerve Palsy due to Infected Impacted Tooth

2009 ◽  
Vol 2009 ◽  
pp. 1-4 ◽  
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.

scholarly journals Thyroid Carcinoma on the Side of the Absent Lobe in a Patient with Thyroid Hemiagenesis

2017 ◽  
Vol 2017 ◽  
pp. 1-5
Author(s):  
Hiroki Sato ◽  
Kiyoaki Tsukahara ◽  
Ray Motohashi ◽  
Midori Wakiya ◽  
Hiromi Serizawa ◽  
...  
Keyword(s):  
Thyroid Carcinoma ◽  
Papillary Carcinoma ◽  
Thyroid Tissue ◽  
Needle Aspiration ◽  
Left Lobe ◽  
Thyroid Hemiagenesis ◽  
Poorly Differentiated ◽  
Node Metastases ◽  
Right Lobe ◽  
The Right

Background. Thyroid carcinoma complicated by hemiagenesis is very rare, and previous reports have not described this cancer on the side of the absent lobe. Methods and Results. We report the case of a 64-year-old woman in whom left thyroid hemiagenesis was discovered incidentally during investigations of abnormal sensation during swallowing. A tumorous 1.4 cm lesion was also found on the side of the absent lobe, left of the isthmus. Fine-needle aspiration biopsy revealed class V papillary carcinoma, but no lymph node metastases. Total thyroidectomy was performed for stage cT1bN0M0 carcinoma. Histopathology revealed normal thyroid tissues in the right lobe and isthmus, while the left lobe was absent. The mostly papillary carcinoma was adjacent to the truncated thyroid tissue, with a portion histologically consistent with poorly differentiated carcinoma. Conclusions. All previously reported cases of thyroid cancer complicated by hemiagenesis have represented carcinoma occurring within the present lobe. This case is extremely rare.

scholarly journals Persistent idiopathic unilateral isolated hypoglossal nerve palsy – a report of two cases

2020 ◽  
Vol 56 (1) ◽  
Author(s):  
Clement Olesen ◽  
Martin Biilmann Groen ◽  
Jonatan Forsberg ◽  
Ronald Antulov
Keyword(s):  
Nerve Palsy ◽  
Hypoglossal Nerve ◽  
Hypoglossal Nerve Palsy
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