Unilateral Hypoglossal Nerve Palsy: As the Only Presentation of Tuberculosis
Tuberculous spondylitis is not an uncommon disease of the spine. Near one percent of all cases of spinal tuberculosis (TB) involves craniocervical junction. Hypoglossal nerve palsy is not an uncommon neurological finding, but isolated involvement of the hypoglossal nerve is rare and limited to case...
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Tehran University of Medical Sciences
2012-10-01
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doaj-c24778916fb64e6baa8e92e335935d222020-11-25T03:39:58ZengTehran University of Medical SciencesActa Medica Iranica0044-60250173-59692012-10-015010717720Unilateral Hypoglossal Nerve Palsy: As the Only Presentation of TuberculosisDavood FathiHamid EbadiTuberculous spondylitis is not an uncommon disease of the spine. Near one percent of all cases of spinal tuberculosis (TB) involves craniocervical junction. Hypoglossal nerve palsy is not an uncommon neurological finding, but isolated involvement of the hypoglossal nerve is rare and limited to case reports or small case series. Here, we report a case of craniocervical junction tuberculosis presenting with unilateral hypoglossal nerve palsy. Case is a 41-year-old woman with neck and suboccipital pain since one month and unilateral right hypoglossal nerve palsy since one week. All laboratory tests were unremarkable except raised ESR level. Involvement of C1-C2 and hypoglossal canal were demonstrated by CT scan of craniocervical junction. Tissue diagnosis of TB was established by open biopsy of the craniocervical junction.http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/22714.pdf&manuscript_id=22714Craniocervical Junction (CCJ)Hypoglossal NerveTB |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Davood Fathi Hamid Ebadi |
spellingShingle |
Davood Fathi Hamid Ebadi Unilateral Hypoglossal Nerve Palsy: As the Only Presentation of Tuberculosis Acta Medica Iranica Craniocervical Junction (CCJ) Hypoglossal Nerve TB |
author_facet |
Davood Fathi Hamid Ebadi |
author_sort |
Davood Fathi |
title |
Unilateral Hypoglossal Nerve Palsy: As the Only Presentation of Tuberculosis |
title_short |
Unilateral Hypoglossal Nerve Palsy: As the Only Presentation of Tuberculosis |
title_full |
Unilateral Hypoglossal Nerve Palsy: As the Only Presentation of Tuberculosis |
title_fullStr |
Unilateral Hypoglossal Nerve Palsy: As the Only Presentation of Tuberculosis |
title_full_unstemmed |
Unilateral Hypoglossal Nerve Palsy: As the Only Presentation of Tuberculosis |
title_sort |
unilateral hypoglossal nerve palsy: as the only presentation of tuberculosis |
publisher |
Tehran University of Medical Sciences |
series |
Acta Medica Iranica |
issn |
0044-6025 0173-5969 |
publishDate |
2012-10-01 |
description |
Tuberculous spondylitis is not an uncommon disease of the spine. Near one percent of all cases of spinal tuberculosis (TB) involves craniocervical junction. Hypoglossal nerve palsy is not an uncommon neurological finding, but isolated involvement of the hypoglossal nerve is rare and limited to case reports or small case series. Here, we report a case of craniocervical junction tuberculosis presenting with unilateral hypoglossal nerve palsy. Case is a 41-year-old woman with neck and suboccipital pain since one month and unilateral right hypoglossal nerve palsy since one week. All laboratory tests were unremarkable except raised ESR level. Involvement of C1-C2 and hypoglossal canal were demonstrated by CT scan of craniocervical junction. Tissue diagnosis of TB was established by open biopsy of the craniocervical junction. |
topic |
Craniocervical Junction (CCJ) Hypoglossal Nerve TB |
url |
http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/22714.pdf&manuscript_id=22714 |
work_keys_str_mv |
AT davoodfathi unilateralhypoglossalnervepalsyastheonlypresentationoftuberculosis AT hamidebadi unilateralhypoglossalnervepalsyastheonlypresentationoftuberculosis |
_version_ |
1724537255824982016 |