title: Wisdom tooth extraction causing lingual nerve and styloglossus muscle damage: a mimic of multiple cranial nerve palsies.
abstract: The combination of tongue hemianaesthesia, dysgeusia, dysarthria and dysphagia suggests the involvement of multiple cranial nerves. We present a case with sudden onset of these symptoms immediately following wisdom tooth extraction and highlight the clinical features that allowed localisation of the lesion to a focal, iatrogenic injury of the lingual nerve and adjacent styloglossus muscle.
authors.affiliation: MRC Centre for Neuromuscular Diseases, National Hospital of Neurology and Neurosurgery, London, UK.
authors.forename: Aisling S
authors.initials: AS
authors.lastname: Carr
authors.affiliation: MRC Centre for Neuromuscular Diseases, National Hospital of Neurology and Neurosurgery, London, UK.
authors.forename: Matthew
authors.initials: M
authors.lastname: Evans
authors.affiliation: Department of Neuroradiology, National Hospital of Neurology and Neurosurgery, London, UK.
authors.forename: Sachit
authors.initials: S
authors.lastname: Shah
authors.affiliation: Department of Neurophysiology, National Hospital of Neurology and Neurosurgery, London, UK.
authors.forename: Santi
authors.initials: S
authors.lastname: Catania
authors.affiliation: National Hospital of Neurology and Neurosurgery, London, UK.
authors.forename: Jason D
authors.initials: JD
authors.lastname: Warren
authors.affiliation: Department of Neurology, National Hospital of Neurology and Neurosurgery, London, UK.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Gleeson
authors.affiliation: MRC Centre for Neuromuscular Diseases, National Hospital of Neurology and Neurosurgery, London, UK.
authors.forename: Mary M
authors.initials: MM
authors.lastname: Reilly
mesh_terms: D003389:Cranial Nerve Diseases / Q000503:physiopathology; D005260:Female; D006801:Humans; D061222:Lingual Nerve Injuries / Q000209:etiology*; D008964:Molar, Third / Q000601:surgery; D009135:Muscular Diseases / Q000209:etiology*; D011183:Postoperative Complications / Q000209:etiology*; D014059:Tongue / Q000294:innervation* / Q000473:pathology; D014081:Tooth Extraction / Q000009:adverse effects*; D055815:Young Adult
keywords: NEUROANATOMY; ORAL MEDICINE; TRIGEMINAL NERVE