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Bilateral Hypoglossal Nerve Palsy due to Brainstem Infarction: A Rare Presentation of Presumed Pyogenic Meningitis
Joint Authors
Kariyawasam, A. G. T. A.
Fonseka, C. L.
Singhapura, S. D. A. L.
Hewavithana, J. S.
Herath, H. M. M.
Pathirana, K. D.
Source
Case Reports in Neurological Medicine
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-09-16
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Background.
Cranial nerve palsies are well-known complications of basal meningitis, especially in patients with tuberculous meningitis.
However, a minority of bacterial meningitis gets complicated with cranial nerve palsies.
Although cerebral infarctions are known to occur with acute bacterial meningitis, infarctions occurring in the brainstem are infrequently described.
Case Presentation.
We report a 46-year-old healthy female who presented with dysarthria with fever, headache, and vomiting and was diagnosed to have acute pyogenic meningitis complicated with a brainstem infarction resulting in bilateral hypoglossal palsy.
Her MRI revealed an infarction in the lower part of the medulla oblongata, probably involving the bilateral hypoglossal nuclei.
Conclusion.
Isolated bilateral hypoglossal nerve palsy is an extremely rare cranial nerve palsy, secondary to pyogenic meningitis.
To our knowledge, this should be the first reported case of isolated bilateral hypoglossal nerve palsy due to a brainstem infarct in the background of pyogenic meningitis.
American Psychological Association (APA)
Kariyawasam, A. G. T. A.& Fonseka, C. L.& Singhapura, S. D. A. L.& Hewavithana, J. S.& Herath, H. M. M.& Pathirana, K. D.. 2018. Bilateral Hypoglossal Nerve Palsy due to Brainstem Infarction: A Rare Presentation of Presumed Pyogenic Meningitis. Case Reports in Neurological Medicine،Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1145477
Modern Language Association (MLA)
Kariyawasam, A. G. T. A.…[et al.]. Bilateral Hypoglossal Nerve Palsy due to Brainstem Infarction: A Rare Presentation of Presumed Pyogenic Meningitis. Case Reports in Neurological Medicine No. 2018 (2018), pp.1-4.
https://search.emarefa.net/detail/BIM-1145477
American Medical Association (AMA)
Kariyawasam, A. G. T. A.& Fonseka, C. L.& Singhapura, S. D. A. L.& Hewavithana, J. S.& Herath, H. M. M.& Pathirana, K. D.. Bilateral Hypoglossal Nerve Palsy due to Brainstem Infarction: A Rare Presentation of Presumed Pyogenic Meningitis. Case Reports in Neurological Medicine. 2018. Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1145477
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1145477