title: [A case of cortical infarction showing unilateral facial and hypoglossal paresis].
abstract: We describe a case presenting with facial and hypoglossal nerve paresis due to cortical cerebral infarction. A 54-year-old man visited our hospital complaining of sudden episode of dysarthria and facial paresis. Neurological findings revealed tongue deviation to the left and left facial paresis with forehead wrinkling while neither limb paralysis nor sensory impairment was observed. Head CT performed on day 3 after onset revealed a cortical infarction in the right prefrontal gyrus. Symptoms gradually improved with medical management. This patient had isolated facial and hypoglossal nerve paresis without other neurological symptoms. Patients with mild paresis of cranial nerves should be diagnosed carefully, because their paresis could be supranuclear type.
authors.affiliation: Department of Internal Medicine, Tsuyama Central Hospital.
authors.forename: Noriko
authors.initials: N
authors.lastname: Sunada
authors.forename: Kentaro
authors.initials: K
authors.lastname: Deguchi
authors.forename: Isao
authors.initials: I
authors.lastname: Nagano
authors.forename: Kunihiko
authors.initials: K
authors.lastname: Hatanaka
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Yamawaki
authors.forename: Sigeatsu
authors.initials: S
authors.lastname: Fujiki
authors.forename: Mikio
authors.initials: M
authors.lastname: Shoji
authors.forename: Koji
authors.initials: K
authors.lastname: Abe
mesh_terms: D002544:Cerebral Infarction / Q000150:complications* / Q000175:diagnosis; D005158:Facial Paralysis / Q000209:etiology*; D006801:Humans; D007002:Hypoglossal Nerve; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010291:Paresis / Q000209:etiology*; D014057:Tomography, X-Ray Computed