Intermittent hypoglossal nerve palsy caused by a calcified persistent hypoglossal artery: An uncommon neurovascular compression syndrome

被引：7

作者：

Meila, Dan ^{[1
,2
]}

Wetter, Axel ^{[3
]}

Brassel, Friedhelm ^{[1
]}

Nacimiento, Wilhelm ^{[4
]}

机构：

[1] Klinikum Duisburg Sana Kliniken, Dept Radiol & Neuroradiol, D-47055 Duisburg, Germany

[2] Hannover Med Sch, Dept Diagnost & Intervent Neuroradiol, D-30625 Hannover, Germany

[3] Univ Hosp Essen, Inst Diagnost & Intervent Radiol & Neuroradiol, Essen, Germany

[4] Klinikum Duisburg Sana Kliniken, Dept Neurol, D-47055 Duisburg, Germany

来源：

JOURNAL OF THE NEUROLOGICAL SCIENCES | 2012年 / 323卷 / 1-2期

关键词：

Dysarthria; Hypoglossal nerve palsy; Hypoglossal artery; Neurovascular compression; Trigeminal neuralgia; Hemifacial spasm; Carbamazepine; VERTEBRAL ENTRAPMENT SYNDROME; FEATURES;

D O I：

10.1016/j.jns.2012.08.018

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Neurovascular compression is assumed to cause symptoms like trigeminal neuralgia, hemifacial spasm and vestibular paroxysmia. We present a patient with recurrent episodes of transient dysarthria due to isolated right hypoglossal nerve (HN) palsy. We describe the first case of a calcified persistent hypoglossal artery (PHA) as the putative cause of a hypoglossal neurovascular compression syndrome. Our patient received a daily low-dose medication of carbamazepine resulting in complete relief of symptoms. In conclusion, PHA is not only an anatomic variation but also a possible cause of a neurovascular compression syndrome leading to intermittent HN palsy. (C) 2012 Elsevier B.V. All rights reserved.

引用

页码：248 / 249

页数：2

共 7 条

[1] Unilateral hypoglossal nerve palsy due to aneurysm of the stump of persistent hypoglossal artery
Al-Memar, A
Thrush, D
[J]. JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1998, 64 (03) : 405 - 405
[2] Hypoglossal-vertebral entrapment syndrome
Aladdin, Yasser
Siddiqi, Zaeem A.
Khan, Khurshid
Ahmed, S. Nizam
[J]. NEUROLOGY, 2008, 71 (06) : 461 - 461
[3] Practice Parameter: The diagnostic evaluation and treatment of trigeminal neuralgia (an evidence-based review) - Report of the quality standards subcommittee of the American academy of and the European federation of neurological societies
Gronseth, G.
Cruccu, G.
Alksne, J.
Argoff, C.
Brainin, M.
Burchiel, K.
Nurmikko, T.
Zakrzewska, J. M.
[J]. NEUROLOGY, 2008, 71 (15) : 1183 - 1190
[4] Vestibular paroxysmia -: Diagnostic features and medical treatment
Huefner, K.
Barresi, D.
Glaser, M.
Linn, J.
Adrion, C.
Mansmann, U.
Brandt, T.
Strupp, M.
[J]. NEUROLOGY, 2008, 71 (13) : 1006 - 1014
[5] Twelfth-nerve palsy - Analysis of 100 cases
Keane, JR
[J]. ARCHIVES OF NEUROLOGY, 1996, 53 (06) : 561 - 566
[6] Isolated peripheral hypoglossal palsy caused by a kinking of the left vertebral artery (hypoglossal vertebral entrapment syndrome)
Rollnik, JD
Sindern, E
Mosler, F
Spring, BI
Malin, JP
[J]. EUROPEAN NEUROLOGY, 1996, 36 (05) : 324 - 325
[7] Hypoglossal artery: a review of normal and pathological features
Vasovic, Ljiljana
Milenkovic, Zoran
Jovanovic, Ivan
Cukuranovic, Rade
Jovanovic, Predrag
Stefanovic, Ivan
[J]. NEUROSURGICAL REVIEW, 2008, 31 (04) : 385 - 395

← 1 →