Korean J Pediatr.  2011 Dec;54(12):515-517. 10.3345/kjp.2011.54.12.515.

A case of idiopathic isolated hypoglossal nerve palsy in a Korean child

Affiliations
  • 1Department of Pediatrics, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Korea. ljh3643@skku.edu
  • 2Department of Physical Education, Kyungnam University College of Education, Changwon, Korea.
  • 3Department of Pediatrics, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.

Abstract

Hypoglossal nerve palsy (HNP) is an uncommon neurological abnormality that can provoke characteristic clinical signs, including unilateral atrophy of the tongue musculature. We present the case of a healthy 11-year-old Korean male who was admitted to the outpatient department of our institution with acute onset dysarthria, tongue fasciculations, and right-sided tongue weakness upon awakening. His evaluation included a virology work-up, neck magnetic resonance imaging (MRI), brain MRI, and otorhinolaryngological physical examination; all tests were normal and showed no evidence of inflammation. Fifteen days after the onset of symptoms, the patient recovered completely. Herein, we report a case of idiopathic isolated HNP in a Korean male.

Keyword

Hypoglossal nerve; Palsy; Child

MeSH Terms

Atrophy
Brain
Child
Dysarthria
Fasciculation
Humans
Hypoglossal Nerve
Hypoglossal Nerve Diseases
Inflammation
Magnetic Resonance Imaging
Male
Neck
Outpatients
Paralysis
Tongue
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