Skull base metastases causing acute bilateral hypoglossal nerve palsy.
Acute bilateral tongue palsy is a rare clinical presentation. We report one such case caused by skull base metastases from prostate cancer. There were no other cranial nerves involved or associated neurological deficit. Mild improvement was seen following radiation therapy. We review the anatomy of the nerve and differential diagnosis of its disfunction.
Rotta
F T
FT
Department of Neurology, University of Miami School of Medicine, FL 33101, USA.
Romano
J G
JG
D001184:Articulation Disorders / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology; D003679:Deglutition; D006801:Humans; D007002:Hypoglossal Nerve / Q000000981:diagnostic imaging / Q000503:physiopathology*; D008297:Male; D008875:Middle Aged; D019292:Skull Base Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary*; D014057:Tomography, X-Ray Computed; D014060:Tongue Diseases / Q000209:etiology / Q000503:physiopathology