Idiopathic Hypoglossal Nerve Laceration Detected by High-Resolution Three-Dimensional Constructive Interference in Steady State Magnetic Resonance Imaging.
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概要
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A 55-year-old man presented with acute onset dysarthria caused by left hypoglossal palsy. He had neither surgery nor injury prior to the onset of his symptoms. We detected no abnormalities with conventional magnetic resonance imaging (MRI). Three-dimensional constructive interference in steady state MRI (CISS MRI) showed curling and thickening of the left hypoglossal nerve and fluid accumulation in the hypoglossal nerve canal. A systemic survey found no malignancies. After 8 months, sustained left hypoglossal palsy and no change in the MRI led to the diagnosis of idiopathic hypoglossal nerve laceration with evulsion. In such patients the cause of the defect is not always apparent and three-dimensional CISS MRI may resolve this issue.
- Wiley-Blackwellの論文
著者
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Sasaki Hidenao
Department Of Neurology Graduate School Of Medicine Hokkaido University
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Terae Satoshi
Department Of Diagnostic And Interventional Radiology Hokkaido University Hospital
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