Occipital neuralgia and twelfth nerve palsy from a chondromyxoid fibroma.
The purpose of this case report is to record the unusual combination of occipital neuralgia and hypoglossal nerve palsy causing dysarthria, dysphagia, and unilateral weakness of tongue protrusion, with no other neurological findings. The cause was a discrete tumor in the clivus and the right occipital condyle. Following surgical resection of the tumor, dysarthria and dysphagia persisted. These improved with therapy by a speech therapist, but deviation of the tongue persisted on protrusion. No similar case reports were found in the literature. In addition, the tumor was an unusual one, a chondromyxoid fibroma (CMF); these tumors uncommonly involve the skull base.
Bloom
Karen Kaye
KK
Department of Medicine, Division of Physical Medicine and Rehabilitation, University of Louisville School of Medicine, Louisville, KY, USA. bloom.k@insightbb.com
Ellen
Jennie
J
Kaye
Donald
D
D000328:Adult; D002804:Chondroblastoma / Q000150:complications / Q000175:diagnosis*; D003390:Cranial Nerve Neoplasms / Q000150:complications / Q000175:diagnosis*; D003937:Diagnosis, Differential; D004401:Dysarthria / Q000209:etiology; D005156:Facial Neuralgia / Q000209:etiology*; D005260:Female; D006801:Humans; D020437:Hypoglossal Nerve Diseases / Q000150:complications / Q000175:diagnosis*