• Eur. J. Paediatr. Neurol. · Jan 2002

    Case Reports

    Isolated hypoglossal nerve palsy in a 14-year-old girl.

    • S Hadjikoutis, S Jayawant, and N Stoodley.
    • Specialist Registrar, Department of Neurology, University Hospital of Wales, Cardiff, UK. savvashadjikoutis@yahoo.com
    • Eur. J. Paediatr. Neurol. 2002 Jan 1;6(4):225-8.

    AbstractIsolated hypoglossal nerve palsy is rare, but occasionally it appears as the initial or solitary sign of an intracranial or extracranial space-occupying lesion or a vascular abnormality of the internal carotid artery. We present a 14-year-old girl who, following an upper respiratory tract infection, presented with isolated right hypoglossal nerve palsy. Anti-streptolysin O titre was increased to >1280 suggesting a preceding streptococcal infection. Magnetic resonance imaging of the brain did not show any intracranial or extracranial abnormality. She had a partial improvement at 3 months. This case emphasizes the value of recognizing the existence of benign self-limiting, post-infectious causes of isolated hypoglossal nerve palsies in children.

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