Yu Yeyao Joe, Warman Chardon Jodi, Bourque Pierre R
The Ottawa Hospital, Department of Medicine, Division of Neurology, Ottawa, Ontario, Canada.
University of Ottawa, Faculty of Medicine, Ottawa, Ontario, Canada.
Muscle Nerve. 2016 Dec;54(6):1055-1058. doi: 10.1002/mus.25258. Epub 2016 Sep 9.
The clinical characteristics of unilateral hypoglossal neuropathy have not been systematically analyzed.
We documented subjective abnormalities of speech and swallowing, and photographed 9 specific tongue movements and positions. Objective deficits were scored independently by 2 examiners.
Eight patients were analyzed. Some degree of dysarthria and dysphagia was noticed by 7 and 8 patients, respectively, mostly resolving within a few months. In all subjects, there was contralateral deviation of the tongue at rest and ipsilateral deviation upon forward protrusion. Furthermore, 7 of 8 patients had deficits in using the tongue to indent the ipsilateral cheek and cover the upper lip.
Unilateral hypoglossal nerve palsy produces mostly subtle and transient patient symptoms, even when complete. Beyond the classic sign of ipsilateral deviation on protrusion, reliable signs are contralateral deviation at rest, paresis of ipsilateral movement inside the mouth, and paresis of elevation of the tongue tip. Muscle Nerve 54: 1055-1058, 2016.
单侧舌下神经病变的临床特征尚未得到系统分析。
我们记录了言语和吞咽方面的主观异常情况，并拍摄了9种特定的舌运动和位置。由两名检查者独立对客观缺陷进行评分。
对8例患者进行了分析。分别有7例和8例患者存在一定程度的构音障碍和吞咽困难，大多在几个月内缓解。在所有受试者中，静息时舌头向对侧偏斜，向前伸出时向同侧偏斜。此外，8例患者中有7例在使用舌头压同侧脸颊和覆盖上唇方面存在缺陷。
单侧舌下神经麻痹即使在完全性麻痹时，大多也只会产生细微和短暂的患者症状。除了经典的伸出时同侧偏斜体征外，可靠的体征还有静息时对侧偏斜、口腔内同侧运动麻痹以及舌尖上抬麻痹。《肌肉与神经》54: 1055 - 1058, 2016年。
