Marino Simona D, Schiavone Laura, La Mendola Flavia M C, Timpanaro Tiziana, Cucuzza Maria Elena, Greco Filippo, Smilari Pierluigi, Fiumara Agata, Praticò Andrea Domenico
Section of Pediatrics and Child Neuropsychiatry, Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy.
Section of Pediatrics and Child Neuropsychiatry, Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy; Maurice Wohl Clinical Neuroscience Institute, King's College London, London, UK.
Neurol Neurochir Pol. 2018 May-Jun;52(3):406-409. doi: 10.1016/j.pjnns.2018.01.006. Epub 2018 Feb 6.
Unilateral palsy of the hypoglossal nerve is a rare complication of orthodontic procedures. The main reported causes of HNP are: orthopedic and otorhinolaryngology surgical interventions, and in particular maneuvers involving compression or overstretching of the hypoglossal nerve, dental procedures and traumas, and also infections, motoneuron disorders, tumors, vascular diseases. Diagnosis is usually performed by electrophysiology studies (EMG-VCN), and brain magnetic resonance imaging (MRI) is useful to exclude other causes. The prognosis depends on the location and extension of the damage. Currently there is not a standardized treatment approach except the speech therapy, although, in some cases, the high-dose steroid treatment could be useful. We describe the case of a ten-year-old female, who was admitted in our Unit after a deviation of the tongue associated with dysarthria and dysphagia, occurred after the application of a mobile orthodontic device.
舌下神经单侧麻痹是正畸手术罕见的并发症。舌下神经麻痹主要报道的病因有：整形外科和耳鼻咽喉科手术干预，特别是涉及舌下神经受压或过度拉伸的操作、牙科手术和创伤，还有感染、运动神经元疾病、肿瘤、血管疾病。诊断通常通过电生理研究（肌电图 - 神经传导速度）进行，脑磁共振成像（MRI）有助于排除其他病因。预后取决于损伤的部位和范围。目前除言语治疗外尚无标准化治疗方法，不过在某些情况下，大剂量类固醇治疗可能有用。我们描述了一名10岁女性的病例，她在使用可移动正畸装置后出现舌偏斜伴构音障碍和吞咽困难，随后入住我们科室。
