Isolated XIITH Cranial Nerve Palsy Secondary to Diffuse Large B Cell Lymphoma – A Rare Occurrence

Main Article Content

Manjiri Naik
Rohit Jacob

Abstract

Isolated XIITH Cranial Nerve Palsy is an uncommon presentation. When it presents in isolation, it can be diagnostically challenging. We report a 43 year old male presenting with Unilateral Hypoglossal Nerve palsy marking the beginning of ongoing metastasis. This case report focusses on the importance of a meticulous approach towards diagnosis and finding the underlying cause.

Keywords:
Hypoglossal nerve, neoplasm, mass.

Article Details

How to Cite
Naik, M., & Jacob, R. (2020). Isolated XIITH Cranial Nerve Palsy Secondary to Diffuse Large B Cell Lymphoma – A Rare Occurrence. Asian Journal of Case Reports in Medicine and Health, 3(1), 9-12. Retrieved from http://journalajcrmh.com/index.php/AJCRMH/article/view/30118
Section
Case Study

References

Rea P. Essential clinically applied anatomy of the peripheral nervous system in the head and neck. Academic Press; 2016.

Pariket M. Dubal, James K. Liu. Nerves and Nerve Injuries; 2015.

David Myland Kaufman MD, Mark J, Milstein MD. Kaufman's clinical neurology for psychiatrists (Seventh Edition); 2013.

Keane JR. Twelfth nerve palsy. Analysis of 100 cases. Arch Neurol. 1996;53:561-566.

Smoker WRK. The hypoglossal nerve. Neuroimaging Clin North Am. 1993;3:93-207.

Tommasi-Devenas C, Vighetto A, Confobreux C, et al. Causes of paralysis of hypoglossal nerve: A propos of 32 cases. Press Med. 1990;19:864-868.

Mahadevappa K, Chacko T, Nair AK. Isolated unilateral hypoglossal nerve palsy due to vertebral artery dissection. Clinical Medicine & Research. 2012;10(3):127–130.
DOI: 10.3121/cmr.2011.1029

Chong VF, Fan YF. Hypoglossal nerve palsy in nasopharyngeal carcinoma. Eur Radiol. 1998;8(6):939-45.

Emiley Bryer, et al. Isolated hypoglossal nerve palsy as a presenting symptom of metastatic peripheral T-cell lymphoma –not otherwise specified (PTCL–NOS): A unique case & a review of the literature. International Journal of Hematologic Oncologyvol. 2018;7(1).

Matano S, Shirasaki H, Terahata S, Nobata K, Sugimoto T. Thickening of multiple cranial nerves in a patient with extranodal peripheral T-cell lymphoma. J. Neuroimaging. 2006;16(2):167–169.

Socolovsky M, Páez MD, Masi GD, Molina G, Fernández E. Bell's palsy and partial hypoglossal to facial nerve transfer: Case presentation and literature review. Surgical Neurology International. 2012;3:46.