A case of cortical infarction showing unilateral facial and hypoglossal paresis

Noriko Sunada; Kentaro Deguchi; Isao Nagano; Kunihiko Hatanaka; Hitoshi Yamawaki; Sigeatsu Fujiki; Mikio Shoji; Koji Abe

A case of cortical infarction showing unilateral facial and hypoglossal paresis

Noriko Sunada, Kentaro Deguchi, Isao Nagano, Kunihiko Hatanaka, Hitoshi Yamawaki, Sigeatsu Fujiki, Mikio Shoji, Koji Abe

Research output: Contribution to journal › Article › peer-review

Abstract

We describe a case presenting with facial and hypoglossal nerve paresis due to cortical cerebral infarction. A 54-year-old man visited our hospital complaining of sudden episode of dysarthria and facial paresis. Neurological findings revealed tongue deviation to the left and left facial paresis with forehead wrinkling while neither limb paralysis nor sensory impairment was observed. Head CT performed on day 3 after onset revealed a cortical infarction in the right prefrontal gyrus. Symptoms gradually improved with medical management. This patient had isolated facial and hypoglossal nerve paresis without other neurological symptoms. Patients with mild paresis of cranial nerves should be diagnosed carefully, because their paresis could be supranuclear type.

Original language	English
Pages (from-to)	801-804
Number of pages	4
Journal	Brain and Nerve
Volume	56
Issue number	9
Publication status	Published - Sept 1 2004

Keywords

Cortical infarction
Facial nerve paresis
Hypoglossal nerve paresis
MRI

ASJC Scopus subject areas

Neuroscience(all)

Cite this

@article{4973153ee8bf4e688c58b39ebec876fe,

title = "A case of cortical infarction showing unilateral facial and hypoglossal paresis",

abstract = "We describe a case presenting with facial and hypoglossal nerve paresis due to cortical cerebral infarction. A 54-year-old man visited our hospital complaining of sudden episode of dysarthria and facial paresis. Neurological findings revealed tongue deviation to the left and left facial paresis with forehead wrinkling while neither limb paralysis nor sensory impairment was observed. Head CT performed on day 3 after onset revealed a cortical infarction in the right prefrontal gyrus. Symptoms gradually improved with medical management. This patient had isolated facial and hypoglossal nerve paresis without other neurological symptoms. Patients with mild paresis of cranial nerves should be diagnosed carefully, because their paresis could be supranuclear type.",

keywords = "Cortical infarction, Facial nerve paresis, Hypoglossal nerve paresis, MRI",

author = "Noriko Sunada and Kentaro Deguchi and Isao Nagano and Kunihiko Hatanaka and Hitoshi Yamawaki and Sigeatsu Fujiki and Mikio Shoji and Koji Abe",

year = "2004",

month = sep,

day = "1",

language = "English",

volume = "56",

pages = "801--804",

journal = "Brain and Nerve",

issn = "0006-8969",

publisher = "Igaku-Shoin Ltd",

number = "9",

}

TY - JOUR

T1 - A case of cortical infarction showing unilateral facial and hypoglossal paresis

AU - Sunada, Noriko

AU - Deguchi, Kentaro

AU - Nagano, Isao

AU - Hatanaka, Kunihiko

AU - Yamawaki, Hitoshi

AU - Fujiki, Sigeatsu

AU - Shoji, Mikio

AU - Abe, Koji

PY - 2004/9/1

Y1 - 2004/9/1

N2 - We describe a case presenting with facial and hypoglossal nerve paresis due to cortical cerebral infarction. A 54-year-old man visited our hospital complaining of sudden episode of dysarthria and facial paresis. Neurological findings revealed tongue deviation to the left and left facial paresis with forehead wrinkling while neither limb paralysis nor sensory impairment was observed. Head CT performed on day 3 after onset revealed a cortical infarction in the right prefrontal gyrus. Symptoms gradually improved with medical management. This patient had isolated facial and hypoglossal nerve paresis without other neurological symptoms. Patients with mild paresis of cranial nerves should be diagnosed carefully, because their paresis could be supranuclear type.

AB - We describe a case presenting with facial and hypoglossal nerve paresis due to cortical cerebral infarction. A 54-year-old man visited our hospital complaining of sudden episode of dysarthria and facial paresis. Neurological findings revealed tongue deviation to the left and left facial paresis with forehead wrinkling while neither limb paralysis nor sensory impairment was observed. Head CT performed on day 3 after onset revealed a cortical infarction in the right prefrontal gyrus. Symptoms gradually improved with medical management. This patient had isolated facial and hypoglossal nerve paresis without other neurological symptoms. Patients with mild paresis of cranial nerves should be diagnosed carefully, because their paresis could be supranuclear type.

KW - Cortical infarction

KW - Facial nerve paresis

KW - Hypoglossal nerve paresis

KW - MRI

UR - http://www.scopus.com/inward/record.url?scp=7944219603&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=7944219603&partnerID=8YFLogxK

M3 - Article

C2 - 15552871

AN - SCOPUS:7944219603

SN - 0006-8969

VL - 56

SP - 801

EP - 804

JO - Brain and Nerve

JF - Brain and Nerve

IS - 9

ER -

A case of cortical infarction showing unilateral facial and hypoglossal paresis

Abstract

Keywords

ASJC Scopus subject areas

Other files and links

Fingerprint

Cite this