title: [A case of isolated hypoglossal nerve palsy probably due to dural arteriovenous fistula].
abstract: We report here a case of isolated hypoglossal nerve palsy probably caused by dural arteriovenous fistula (DAVF). A 51-year-old woman was admitted to our hospital complaining headache, tinnitus, and tongue atrophy. Three years before, she first experienced right-sided pulsatile headache and tinnitus which persisted until admission. One week before, she noticed her tongue deviated to right. On admission, physical and neurological examinations showed no abnormal findings except for bruits on right neck and bilateral orbital areas, and atrophy of right tongue. Brain MRI was not remarkable. MRA and conventional angiography disclosed DAVF. We conclude that differential diagnoses for isolated hypoglossal paralysis should include DAVF.
authors.affiliation: Department of Neurology, Saitama Medical School.
authors.forename: Naoko
authors.initials: N
authors.lastname: Sumita
authors.forename: Kaori
authors.initials: K
authors.lastname: Itokawa
authors.forename: Toshimasa
authors.initials: T
authors.lastname: Yamamoto
authors.forename: Kyoichi
authors.initials: K
authors.lastname: Nomura
authors.forename: Naotoshi
authors.initials: N
authors.lastname: Tamura
authors.forename: Kunio
authors.initials: K
authors.lastname: Shimazu
mesh_terms: D020785:Central Nervous System Vascular Malformations / Q000150:complications* / Q000175:diagnosis; D002533:Cerebral Angiography; D005260:Female; D006261:Headache; D006801:Humans; D020437:Hypoglossal Nerve Diseases / Q000209:etiology*; D018810:Magnetic Resonance Angiography; D008875:Middle Aged; D014012:Tinnitus / Q000209:etiology