Finsterer Josef, Hess Barbara
Department of Neurology, Krankenanstalt Rudolfstiftung, Vienna, Austria, Europe.
Int J Neurosci. 2004 Dec;114(12):1573-80. doi: 10.1080/00207450490509311.
An 85-year-old woman with multisystem mitochondriopathy experienced tension headache, cervical pain, torque head-posture, and vertigo since 1980 for which she was continuously wearing a head-suspension-orthosis- since 1990. Since 1996 she developed severe left-sided weakness and wasting of the tongue. Needle-EMG of the left genioglossus muscle revealed abnormal spontaneous activity and reduced interference-pattern. No morphological alterations in the anatomical course of the hypoglossal nerve were found. Severe, unilateral weakness and wasting of the tongue was interpreted due to chronic compression of the hypoglossal nerve by long-standing use of a head-suspension-orthosis for cervical pain from cervical muscle weakness and resulting spinal degeneration.
一名患有多系统线粒体病的85岁女性自1980年起出现紧张性头痛、颈部疼痛、头部扭转姿势和眩晕，自1990年起她一直佩戴头部悬吊矫形器。自1996年以来，她出现了严重的左侧舌肌无力和萎缩。左侧颏舌肌的针极肌电图显示有异常自发电活动且干扰相减少。未发现舌下神经解剖走行有形态学改变。严重的单侧舌肌无力和萎缩被解释为由于长期使用头部悬吊矫形器来缓解因颈部肌肉无力和脊柱退变导致的颈部疼痛，从而导致舌下神经长期受压。
