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Twelfth-nerve palsy. Analysis of 100 cases.第十二对脑神经麻痹。100例病例分析。
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以孤立性舌下神经麻痹为表现的颅底骨髓炎。

Skull base osteomyelitis presenting with an isolated hypoglossal nerve palsy.

作者信息

Kasfiki Eirini Vasileiou, Kelly Ciaran, Smith John, Nicolaides Andreas

机构信息

Department of Acute Medicine, Yorkshire and Humber Deanery, Wetherby, UK.

出版信息

BMJ Case Rep. 2013 Jul 12;2013:bcr2013009647. doi: 10.1136/bcr-2013-009647.

DOI:10.1136/bcr-2013-009647
PMID:23853016
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3736363/
Abstract

This is the first case of skull base osteomyelitis presenting with isolated bilateral hypoglossal nerve palsy reported in the literature. A 75-year-old man presented with tongue paralysis without any other cranial nerve palsy. He was otherwise well apart from recently having a high prostate-specific antigen level recorded. Investigations for malignancy or cerebrovascular insult were negative with the diagnosis of skull base osteomyelitis confirmed using CT. Following treatment with intravenous antibiotics for 6 weeks, symptoms resolved.

摘要

这是文献中报道的首例以孤立性双侧舌下神经麻痹为表现的颅底骨髓炎病例。一名75岁男性出现舌瘫，无其他颅神经麻痹症状。除近期前列腺特异性抗原水平升高外，他其他方面情况良好。恶性肿瘤或脑血管病变的检查结果均为阴性，通过CT确诊为颅底骨髓炎。静脉注射抗生素治疗6周后，症状得以缓解。