J Korean Dysphagia Soc.  2014 Jul;4(2):68-70.

Extra-cranial Schwannoma Causing Hypoglossal Neuropathy

Affiliations
  • 1Department of Physical Medicine and Rehabilitation, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea

Abstract

Various cranial neuropathies caused by intracranial neuroma are well known. However, cranial neuropathies caused by extra-cranial neuroma are scarce compared with intracranial ones. Among them, hypoglossal neuropathy is so rare that only 36 cases of extra-cranial origin were reported. We present the case of 55-year-old female patient presenting two years-lasting choking, aggravated by liquid in-taking during swallowing. Further history taking revealed seven years history of the rugged and rough tongue. Videofluoroscopic swallowing study showed decreased bolus formation and amount of residual materials in vallecular pouch resulting in the secondary overflow aspiration. Electromyography showed a few fibrillation and complex repetitive discharge at the left tongue muscle. As a confirmative study, magnetic resonance imaging revealed schwannoma displacing the left internal carotid artery and internal jugular vein. Her symptoms were well responded to tumor resection & comprehensive dysphagia rehabilitation. This is the first case report of a hypoglossal neuropathy caused by extracranial schwannoma in Republic of Korea.

Keyword

Dysphagia; Schwannoma; Hypoglossal neuropathy
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