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Published on: March 1, 2015
Isolated unilateral hypoglossal nerve paralysis caused by an atlanto-occipital joint synovial cyst
1Department of Neurosurgery, Royal Hobart Hospital, Hobart, Tasmania, Australia. asimujic1@bigpond.com
Abstract:
An isolated unilateral hypoglossal nerve lesion is an uncommon cranial nerve palsy. We report a case of isolated hypoglossal nerve paralysis caused by an intra-dural synovial cyst. To our knowledge, this is the first reported case of a twelfth nerve paralysis caused by a synovial cyst. The anatomy of the hypoglossal nerve, its blood supply and the relationship of the nerve to the atlanto-occipital joint are reviewed, along with the common causes of isolated hypoglossal nerve paralysis.
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