舌下神经管神经鞘瘤导致孤立性左侧第12对脑神经麻痹。
Hypoglossal canal schwannoma causing isolated left 12th cranial nerve palsy.
作者信息
Heda Shruti, Karthik Davala Krishna, Rao Erigaisi Srinivas, Deshpande Anirudda
机构信息
Department of Pathology, Max Care Hospital, Warangal, Telangana, India.
Department of Radiology, Surya Diagnostics, Warangal, Telangana, India.
出版信息
BMJ Case Rep. 2018 Nov 1;2018:bcr-2018-225544. doi: 10.1136/bcr-2018-225544.
A 40-year-old woman presented with insidious onset, gradually progressive dysarthria and inability to manoeuvre bolus of food in her mouth while eating. The duration of her symptoms was 3 months. On evaluation, the left half of her tongue was wasted. The tongue deviated to the left on protrusion. There were no clinical features suggestive of involvement of the ipsilateral 9th, 10th or 11th cranial nerves. MRI of the brain showed a large, fusiform lesion in the left hypoglossal canal, extending into the jugular canal. The lesion was surgically excised and found to be a schwannoma.
一名40岁女性，起病隐匿，出现逐渐进展的构音障碍，进食时无法在口腔内移动食物团块。症状持续3个月。经评估，其左侧舌体萎缩。伸舌时舌尖偏向左侧。无提示同侧第9、10或11对脑神经受累的临床特征。脑部MRI显示左侧舌下神经管有一个大的梭形病变，延伸至颈静脉孔。该病变经手术切除，病理结果为神经鞘瘤。
Zotero 插件