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- Karthik Mahadevappa, Thomas Chacko, and Anil K Nair.
- Department of Neurology, Quincy Medical Center/Alzheimer’s Disease Center, Quincy, Massachusetts 02169, USA.
- Clin Med Res. 2012 Aug 1;10(3):127-30.
AbstractWe report the case of a patient with unilateral tongue weakness secondary to an isolated lower motor neuron hypoglossal nerve palsy that was caused by a right vertebral artery dissection in the lower neck. The patient had a boggy tongue with a deviation to the right side but an otherwise normal neurological examination. Magnetic resonance angiography showed a narrow lumen of the right vertebral artery in the neck. After initially treating the patient with aspirin in the emergency room and later with warfarin for three months, there was complete recanalization of the right vertebral artery. Only one other case of vertebral artery dissection and twelfth nerve palsy has been reported before.
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