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KMID : 0359720100280040311
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Journal of the Korean Neurological Association
2010 Volume.28 No. 4 p.311 ~ p.314
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Central Skull Base Osteomyelitis Causing Bilateral Hypoglossal Nerve Palsy
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Sunwoo Jun-Sang
Son Yoo-Ri
Moon Hye-Jin
Park Hong-Kyun
Hong Yoon-Ho
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Abstract
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Bilateral hypoglossal nerve palsy is a rare clinical presentation. We report a case of central skull base osteomyelitis (SBO) presenting with complete tongue paralysis in a 53-year-old man who was not diabetic or immunocompromised. Magnetic resonance imaging demonstrated characteristic features including abnormal contrast enhancement in the clivus (T1-weighted images). Blood tests revealed elevated acute-phase reactants and leukocytosis, which prompted prolonged antibiotic treatment. He responded well to the antibiotics, which together with typical clinical and imaging findings led to the diagnosis of bacterial SBO.
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KEYWORD
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Hypoglossal nerve palsy, Skull base
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