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

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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Alternative route to a hypoglossal canal dural arteriovenous fistula in case of failed jugular vein approach

Interventional Neuroradiology ◽

10.1177/1591019920961199 ◽

2020 ◽

pp. 159101992096119

Author(s):

Rasmus Holmboe Dahl ◽

Alessandra Biondi ◽

Fortunato Di Caterino ◽

Giovanni Vitale ◽

Lars Poulsgaard ◽

...

Keyword(s):

Nerve Palsy ◽

Hypoglossal Nerve ◽

Jugular Vein ◽

Complete Regression ◽

Unsuccessful Attempt ◽

Hypoglossal Nerve Palsy ◽

Hypoglossal Canal ◽

Arteriovenous Fistulas ◽

Vein Access ◽

Alternative Routes

Hypoglossal canal dural arteriovenous fistulas (HC-DAVF) involve the anterior condylar vein (ACV) and anterior condylar confluence (ACC). They often present with tinnitus, bruit, and hypoglossal nerve palsy. The most common treatment in HC-DAVFs is transvenous embolization using coils and the most direct transvenous route is the trans-internal jugular vein access. When this approach is not feasible, a treatment attempt is possible through alternative routes. We report 2 patients with DAVFs involving the anterior condylar confluence. The first patient presented with pulsatile tinnitus and hypoglossal nerve palsy, and was treated by a standard transjugular approach. The second patient presented with pulse-synchronous bruit. Following an unsuccessful attempt of the transjugular approach, the fistulous point was reached via the deep cervical vein and complete occlusion was achieved by coil deployment. Both patients had complete regression of symptoms. Endovascular therapy is the elective treatment for HC-DAVFs and the transjugular approach is the most commonly used. The deep cervical vein (DCV) can be an alternative transvenous route when the transjugular approach fails.

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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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Isolated tubercular hypoglossal nerve paralysis

Tropical Doctor ◽

10.1177/0049475516649894 ◽

2016 ◽

Vol 47 (3) ◽

pp. 255-260 ◽

Cited By ~ 1

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.

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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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