病例报告。寰枢关节滑膜囊肿导致孤立性单侧舌下神经麻痹。
Case report. Atlantoaxial synovial cyst causing isolated unilateral hypoglossal nerve paralysis.
机构信息
CDPI-Clínica de Diagnóstico Por Imagem and Department of Radiology of the Universidade Federal of Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
出版信息
Br J Radiol. 2010 Feb;83(986):e35-8. doi: 10.1259/bjr/97329463.
Abstract
Cervical synovial cysts are rare entities that are, most of the time, asymptomatic. They can cause nerve root or spinal cord compression, especially when acute haemorrhage or a marked increase in size occurs. Isolated unilateral hypoglossal nerve paralysis caused by compression of its cisternal segment is also an extremely rare condition. We report the case of a 51-year-old woman who presented with dysarthria and tongue fasciculation. MRI revealed an atlantoaxial synovial cyst that extended cranially through the hypoglossal canal and compressed the fibres of the left XII nerve on its cisternal segment. To our knowledge, this is the first case report of XII nerve paralysis being caused by an atlantoaxial synovial cyst.
摘要
颈椎滑膜囊肿是一种罕见的疾病，大多数情况下是无症状的。当出现急性出血或明显增大时，它们可能会压迫神经根或脊髓。孤立性单侧舌下神经麻痹，由其池段受压引起，也是一种极其罕见的情况。我们报告了一例 51 岁女性患者，表现为构音障碍和舌肌抽搐。MRI 显示寰枢关节滑膜囊肿向颅侧延伸，通过舌下神经管，并压迫左侧 XII 神经的池段纤维。据我们所知，这是首例由寰枢关节滑膜囊肿引起的 XII 神经麻痹的病例报告。
相似文献
1
Case report. Atlantoaxial synovial cyst causing isolated unilateral hypoglossal nerve paralysis.
Br J Radiol. 2010 Feb;83(986):e35-8. doi: 10.1259/bjr/97329463.
2
Isolated unilateral hypoglossal nerve paralysis caused by an atlanto-occipital joint synovial cyst.
J Clin Neurosci. 2003 Jul;10(4):492-5. doi: 10.1016/s0967-5868(03)00083-3.
3
Isolated unilateral hypoglossal nerve palsy secondary to an atlantooccipital joint juxtafacet synovial cyst.
J Neurosurg Spine. 2009 Mar;10(3):234-9. doi: 10.3171/2008.12.SPINE08158.
4
Intradural extraneural bilobate ganglion cyst of the atlanto-occipital joint compressing the hypoglossal nerve.
J Clin Neurosci. 2012 Mar;19(3):472-3. doi: 10.1016/j.jocn.2011.04.035. Epub 2012 Jan 25.
5
Atlantooccipital Synovial Cyst with Isolated Hypoglossal Nerve Palsy: Case Report of Nonfusion Surgical Approach and Review of Literature.
World Neurosurg. 2019 Jun;126:434-438. doi: 10.1016/j.wneu.2019.03.159. Epub 2019 Mar 25.
6
[Isolated hypoglossal nerve palsy secondary to an atlantoccipital joint synovial cyst. Case report and literature review].
Neurocirugia (Astur). 2010 Aug;21(4):322-5. doi: 10.4321/s1130-14732010000400006.
7
An unusual case of isolated hypoglossal nerve palsy secondary to osteophytic projection from the atlanto-occipital joint.
Neuroradiol J. 2014 Jun;27(3):361-4. doi: 10.15274/NRJ-2014-10039. Epub 2014 Jun 17.
8
Persistent idiopathic unilateral hypoglossal [corrected] nerve palsy: a case report.
Br J Oral Maxillofac Surg. 2014 Jul;52(6):572-4. doi: 10.1016/j.bjoms.2014.04.005. Epub 2014 May 14.
9
Hypoglossal canal schwannoma causing isolated left 12th cranial nerve palsy.
BMJ Case Rep. 2018 Nov 1;2018:bcr-2018-225544. doi: 10.1136/bcr-2018-225544.
10
Atlantoaxial joint synovial cyst: diagnosis and percutaneous treatment.
Cardiovasc Intervent Radiol. 2008 Nov-Dec;31(6):1219-21. doi: 10.1007/s00270-008-9347-z. Epub 2008 Apr 24.
引用本文的文献
1
Hypoglossal Nerve Neuropathies-Analysis of Causes and Anatomical Background.
Biomedicines. 2024 Apr 14;12(4):864. doi: 10.3390/biomedicines12040864.
2
Management of rare atlantoaxial synovial cyst case with extension to the cerebellopontine angle: illustrative case.
J Neurosurg Case Lessons. 2023 Oct 30;6(18). doi: 10.3171/CASE23373.
3
Recognition of Prodromal Hypoglossal Nerve Palsy Presenting with Neck Pain as Primary Complaint: Findings from a Rare Case Report in Direct Access Physiotherapy during the COVID-19 Pandemic.
Healthcare (Basel). 2023 May 7;11(9):1342. doi: 10.3390/healthcare11091342.
4
Unusual Stroke-Like Symptoms in a Patient With Generalized Osteoarthritis.
Cureus. 2021 Jun 27;13(6):e15951. doi: 10.7759/cureus.15951.
5
A tardy tongue palsy: Delayed post-traumatic isolated unilateral hypoglossal neuropathy.
Neurol Clin Pract. 2016 Feb;6(1):e1-e3. doi: 10.1212/CPJ.0000000000000193.
6
Is Hypoglossal Nerve Palsy Caused by Craniocervical Junction Degenerative Disease an Underrecognized Entity?
AJNR Am J Neuroradiol. 2016 Nov;37(11):2138-2143. doi: 10.3174/ajnr.A4885. Epub 2016 Aug 18.
本文引用的文献
1
Case 101: lumbar facet synovial cyst.
Radiology. 2006 Nov;241(2):618-21. doi: 10.1148/radiol.2412040339.
2
Internal carotid artery dissection presenting with ipsilateral tenth and twelfth nerve palsies and apparent mass lesion on MRI.
Br J Radiol. 2005 Jul;78(931):659-61. doi: 10.1259/bjr/57426025.
3
Synovial cyst in the cervical region causing severe myelopathy.
Yonsei Med J. 2004 Jun 30;45(3):539-42. doi: 10.3349/ymj.2004.45.3.539.
4
Isolated unilateral hypoglossal nerve paralysis caused by an atlanto-occipital joint synovial cyst.
J Clin Neurosci. 2003 Jul;10(4):492-5. doi: 10.1016/s0967-5868(03)00083-3.
5
Retrodental synovial cyst which disappeared after posterior C1-C2 fusion: A case report.
J Orthop Surg (Hong Kong). 2000 Jun;8(1):83-87. doi: 10.1177/230949900000800115.
6
Cervical synovial cysts: case report and review of the literature.
Eur Spine J. 1999;8(3):232-7. doi: 10.1007/s005860050164.
7
[Ganglion cyst of the cervical spine causing radiculopathy].
J Radiol. 1998 Jul;79(7):687-9.
8
MRI findings of VIIth cranial nerve involvement in sarcoidosis.
Br J Radiol. 1997 Aug;70(836):859-61. doi: 10.1259/bjr.70.836.9486057.
9
Atlantoaxial degenerative articular cysts.
J Neurosurg. 1996 Nov;85(5):810-6. doi: 10.3171/jns.1996.85.5.0810.
10
Spinal extradural benign synovial or ganglion cyst: case report and review of the literature.
Neurosurgery. 1983 Sep;13(3):322-6. doi: 10.1227/00006123-198309000-00021.
Zotero 插件