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Keimyung Medical Journal 2015;34(2):216-218.
Published online December 15, 2015.
A Case of Improved Idiopathic Isolated Hypoglossal Nerve Palsy without Use of Steroid.
Seok Kyung Kwon, Sang Lae Lee, Jong Wan Park, Jong Whan Choi, Jin Suk Kim, Sang Won Park
Department of Neurology, Daegu Fatima Hospital, Daegu, Korea. pswms@fatima.or.kr
Abstract
The hypoglossal nerve palsy receives only brief mention in most textbooks and compared with other cranial nerve palsies, 12th nerve palsy is much less common. A literature review revealed that in most cases, isolated hypoglossal nerve palsy indicates the presence of an intracranial or extracranial space occupying lesion, head and neck injury, vascular abnormality, infection, autoimmune disease or neuropathy. Reports of idiopathic cases are rare and treated with steroid therapy. We report a 38-year-old woman with isolated hypoglossal nerve palsy improved spontaneously without steroid use. Considering our experience with isolated hypoglossal nerve palsy, we believe that no therapy is required in the patients with hypoglossal nerve palsy of probably idiopathic causes.
Key Words: Hypoglossal nerve palsy, Idiopathic, Steroid
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