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 journalArticlepeer-review


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 languageEnglish
Pages (from-to)801-804
Number of pages4
JournalBrain and Nerve
Issue number9
Publication statusPublished - Sept 1 2004


  • Cortical infarction
  • Facial nerve paresis
  • Hypoglossal nerve paresis
  • MRI

ASJC Scopus subject areas

  • Neuroscience(all)


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