A tardy tongue palsy

Cullen M. O'Gorman, E. Paul Lindell, Jamie Van Gompel, James P. Klaas

Research output: Contribution to journalArticle

Abstract

A 76-year-old man presented with insidious onset of slurred speech and difficulty swallowing over 1 year. Initial symptoms were episodic imprecise articulation, tongue swelling, tongue deviation, and mild right-sided headache. Progressive deterioration of speech and swallowing function had occurred; at the time of presentation, the patient was struggling to swallow food and saliva. He had undergone C1-C5 posterior fusion following a C2 fracture 50 years prior. There was no relevant medical history and the patient was systemically well. Examination found hemiatrophy of the right side of the tongue with visible fasciculations. The tongue protruded to the right and there was associated dysarthria. There was no evidence of other cranial nerve involvement, cervical myelopathy, or a diffuse motor neuron disorder.

Original languageEnglish (US)
Pages (from-to)e1-e3
JournalNeurology: Clinical Practice
Volume6
Issue number1
DOIs
StatePublished - Feb 1 2016

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Tongue
Paralysis
Deglutition
Fasciculation
Dysarthria
Cranial Nerves
Spinal Cord Diseases
Motor Neurons
Saliva
Headache
Food

ASJC Scopus subject areas

  • Clinical Neurology

Cite this

O'Gorman, C. M., Lindell, E. P., Van Gompel, J., & Klaas, J. P. (2016). A tardy tongue palsy. Neurology: Clinical Practice, 6(1), e1-e3. https://doi.org/10.1212/CPJ.0000000000000193

A tardy tongue palsy. / O'Gorman, Cullen M.; Lindell, E. Paul; Van Gompel, Jamie; Klaas, James P.

In: Neurology: Clinical Practice, Vol. 6, No. 1, 01.02.2016, p. e1-e3.

Research output: Contribution to journalArticle

O'Gorman, CM, Lindell, EP, Van Gompel, J & Klaas, JP 2016, 'A tardy tongue palsy', Neurology: Clinical Practice, vol. 6, no. 1, pp. e1-e3. https://doi.org/10.1212/CPJ.0000000000000193
O'Gorman, Cullen M. ; Lindell, E. Paul ; Van Gompel, Jamie ; Klaas, James P. / A tardy tongue palsy. In: Neurology: Clinical Practice. 2016 ; Vol. 6, No. 1. pp. e1-e3.
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