Shibaike Yoshinori, Kawajiri Satoshi, Arishima Hidetaka, Kikuta Ken-Ichiro
Department of Neurosurgery, Division of Medicine, Faculty of medical Sciences, University of Fukui.
Rinsho Shinkeigaku. 2022 May 31;62(5):391-394. doi: 10.5692/clinicalneurol.cn-001720. Epub 2022 Apr 26.
We report a rare case with unilateral dysgeusia due to cerebrovascular disease. A 45-year-old man was admitted to the hospital with a sudden onset of dysesthesia in the right face and upper and lower limbs. A CT scan revealed a left pontine hemorrhage. A day after onset, the patient became aware of unilateral dysgeusia. Electrogustometry showed significantly higher thresholds in the left chorda tympani nerve and glossopharyngeal nerve compared to the right nerves. We diagnosed the hemorrhage caused unilateral dysgeusia. Although dysesthesia in the right face and upper and lower limbs disappeared, the dysgeusia in the left tongue persisted six months after symptom onset. Based on the neurological and radiological findings in this case, we discuss the central gustatory pathway with literatures.
我们报告一例因脑血管疾病导致单侧味觉障碍的罕见病例。一名45岁男性因突发右侧面部及上下肢感觉异常入院。CT扫描显示左侧脑桥出血。发病一天后,患者出现单侧味觉障碍。电味觉测试显示,与右侧神经相比,左侧鼓索神经和舌咽神经的阈值明显更高。我们诊断出血导致了单侧味觉障碍。尽管右侧面部及上下肢的感觉异常消失,但症状出现六个月后,左侧舌部的味觉障碍仍然存在。基于该病例的神经学和放射学检查结果,我们结合文献讨论了中枢味觉通路。