Isolated hypoglossal nerve palsy due to metastatic germinoma in the neck: a ventriculoatrial shunt-related complication.
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.
Woo
E
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Department of Medicine, University of Hong Kong, Queen Mary Hospital.
Yu
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YL
D001932:Brain Neoplasms / Q000150:complications / Q000532:radiotherapy; D002533:Cerebral Angiography; D002557:Cerebrospinal Fluid Shunts / Q000009:adverse effects*; D002648:Child; D006063:Chorionic Gonadotropin / Q000097:blood; D003131:Combined Modality Therapy; D003389:Cranial Nerve Diseases / Q000209:etiology; D004407:Dysgerminoma / Q000150:complications* / Q000556:secondary / Q000628:therapy; D006258:Head and Neck Neoplasms / Q000150:complications* / Q000556:secondary / Q000628:therapy; D006801:Humans; D006849:Hydrocephalus / Q000150:complications / Q000628:therapy; D007002:Hypoglossal Nerve; D008297:Male; D010243:Paralysis / Q000209:etiology*; D014057:Tomography, X-Ray Computed
D006063:Chorionic Gonadotropin