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一例罕见的因头部损伤并发舌下神经麻痹的病例。

A rare case of hypoglossal nerve palsy complicating a head injury.

作者信息

Shweikh A M, al-Atrakchi S

机构信息

Accident and Emergency Department, North East Lincolnshire NHS Trust, Grimsby Hospital.

出版信息

J Accid Emerg Med. 1998 Nov;15(6):427-9. doi: 10.1136/emj.15.6.427.

DOI:10.1136/emj.15.6.427
PMID:9825280
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1343221/
Abstract

Hypoglossal nerve palsy (HNP) may follow fracture of the base of the skull. Of the various aetiologies described, trauma is one of the least frequent. HNP can easily be missed at the time of injury and awareness of this rare complication may assist in early diagnosis. A case of HNP after a head injury associated with the loss of taste sensation on the paralysed side of the tongue and aerocoele is reported.

摘要

舌下神经麻痹（HNP）可能继发于颅底骨折。在已描述的各种病因中，创伤是最不常见的病因之一。HNP在受伤时很容易被漏诊，认识到这种罕见的并发症可能有助于早期诊断。本文报告1例头部受伤后出现HNP的病例，该病例伴有患侧舌味觉丧失和气囊肿。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/570b/1343221/ac5803a17ed4/jaccidem00027-0062-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/570b/1343221/9d359a6eacbd/jaccidem00027-0061-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/570b/1343221/e5fe17b9ffaa/jaccidem00027-0061-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/570b/1343221/8691a8debfae/jaccidem00027-0062-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/570b/1343221/b920dd83ec37/jaccidem00027-0062-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/570b/1343221/ac5803a17ed4/jaccidem00027-0062-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/570b/1343221/9d359a6eacbd/jaccidem00027-0061-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/570b/1343221/e5fe17b9ffaa/jaccidem00027-0061-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/570b/1343221/8691a8debfae/jaccidem00027-0062-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/570b/1343221/b920dd83ec37/jaccidem00027-0062-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/570b/1343221/ac5803a17ed4/jaccidem00027-0062-c.jpg

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1
A rare case of hypoglossal nerve palsy complicating a head injury.一例罕见的因头部损伤并发舌下神经麻痹的病例。
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本文引用的文献

1
Bilateral traumatic hypoglossal nerve paralysis.双侧创伤性舌下神经麻痹
Br J Oral Maxillofac Surg. 1996 Aug;34(4):309-10. doi: 10.1016/s0266-4356(96)90008-x.
2
Traumatic bilateral hypoglossal nerve palsy.创伤性双侧舌下神经麻痹
Br J Oral Maxillofac Surg. 1995 Aug;33(4):239-41. doi: 10.1016/0266-4356(95)90008-x.
3
Traumatic isolated unilateral hypoglossal nerve palsy--case report and review of the literature.
Br J Oral Maxillofac Surg. 1995 Jun;33(3):171-3. doi: 10.1016/0266-4356(95)90292-9.
4
Traumatic occipital condyle fracture, multiple cranial nerve palsies, and torticollis: a case report and review of the literature.创伤性枕髁骨折、多组颅神经麻痹和斜颈：一例病例报告及文献复习
Surg Neurol. 1992 Aug;38(2):152-6. doi: 10.1016/0090-3019(92)90094-4.