Unilateral hypoglossal nerve palsy caused by an intraneural ganglion cyst

2010 ◽  
Vol 113 (2) ◽  
pp. 380-383 ◽  
Author(s):  
Yoichi Nonaka ◽  
Peter M. Grossi ◽  
Carol A. Filomena ◽  
Allan H. Friedman ◽  
Takanori Fukushima

The authors describe a rare case of unilateral hypoglossal nerve palsy caused by an intraneural ganglion cyst. Three similar cases have been reported with pathological classification still under consideration. One case was classified as an intraneural ganglion cyst and 2 cases were classified as atlantooccipital joint synovial cysts.

Author(s):  
Keiji Shinozuka ◽  
Yoshimi Ichinokawa ◽  
Nobuaki Hanaue ◽  
Kenshin Ohara ◽  
Osamu Shimizu ◽  
...  

2009 ◽  
Vol 10 (3) ◽  
pp. 234-239 ◽  
Author(s):  
Mohamed Samy Elhammady ◽  
Hamad Farhat ◽  
Mohammad Ali Aziz-Sultan ◽  
Jacques J. Morcos

Juxtafacet cysts of the atlantooccipital joint that present with isolated hypoglossal nerve palsy are rare and may mimic more common pathological entities. The authors report on the third such case in the literature and discuss the differential diagnosis, imaging hallmarks, preoperative recognition, and surgical management of this lesion, and provide a review of the literature. The authors discuss their experience with the treatment of a 67-year-old woman who presented with an isolated hypoglossal nerve palsy caused by a nonenhancing cystic septated lesion abutting the lateral medulla just medial to the left hypoglossal canal. The lesion was presumed to be a necrotic hypoglossal schwannoma or epidermoid tumor. Intradural surgical exploration failed to demonstrate an intradural lesion, but confirmed the presence of an extradural mass caudal to the hypoglossal nerve. Extradural exploration revealed a synovial cyst of the atlantooccipital joint, which was then resected. Postoperatively, the patient developed worsening dysphagia and hoarseness. Failure to recognize this rare entity preoperatively resulted in unnecessary intradural exploration and cranial nerve morbidity. In retrospect, the preoperative diagnosis of this lesion was suggested by lack of central enhancement, absence of dumbbell formation and the presence of erosive synovial changes. Regardless, the extreme rarity of this lesion at this location will always make its recognition challenging.


2005 ◽  
Vol 103 (5) ◽  
pp. 920-922 ◽  
Author(s):  
Jörg Baldauf ◽  
Dirk Junghans ◽  
Henry W. S. Schroeder

✓ An unusual case of an intraneural ganglion cyst of the hypoglossal nerve is presented. Only one case of this rare clinical entity has been reported previously. A 51-year-old woman presented with a 6-month history of left-sided hypoglossal nerve palsy. Magnetic resonance imaging revealed a cystic lesion related to the hypoglossal canal. There was no enhancement of the lesion after administration of Gd. A high-resolution computerized tomography scan of the skull base demonstrated an enlargement of the hypoglossal canal. To access the lesion, a far-lateral endoscope-assisted microsurgical approach was used. An intraneural ganglion lesion invading the hypoglossal nerve was found and resected. A histopathological examination confirmed that the lesion was an intraneural ganglion cyst. The occurrence of an intraneural ganglion cyst at the hypoglossal nerve is very rare. This case exemplifies an atypical location of a synovial cyst with cranial nerve involvement.


Cureus ◽  
2021 ◽  
Author(s):  
Savannah L Mayer ◽  
Jagmeet S Grewal ◽  
Tyler Gloe ◽  
Catherine A Khasho ◽  
Steven Harder

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