Keane J R
Department of Neurology, Los Angeles County/University of Southern California Medical Center, USA.
Arch Neurol. 1996 Jun;53(6):561-6. doi: 10.1001/archneur.1996.00550060105023.
To describe the causes and characteristics of hypoglossal nerve palsy.
A review of 26 years of personal experience in a large public hospital.
Twelfth-nerve palsies usually appear as signs rather than symptoms. Tumors, predominantly malignant, produced nearly half of the palsies (49 cases), while gunshot wounds made trauma (12) the second most common cause. Stroke (6), hysteria (6), multiple sclerosis (6), surgery (5), Guillain-Barré neuropathy (4), and infection (4) together accounted for about one third of the patients.
Twelfth-nerve palsy proved to be an ominous sign, with only 15% of patients experiencing complete or nearly complete recovery.
描述舌下神经麻痹的病因及特点。
回顾在一家大型公立医院26年的个人经验。
舌下神经麻痹通常表现为体征而非症状。肿瘤（主要为恶性）导致了近一半的麻痹病例（49例），而枪伤是第二大常见的创伤性病因（12例）。中风（6例）、癔症（6例）、多发性硬化症（6例）、手术（5例）、格林-巴利综合征（4例）和感染（4例）加起来约占患者总数的三分之一。
舌下神经麻痹被证明是一个不祥的体征，只有15%的患者实现了完全或近乎完全的恢复。
