Tumor-related denervation pseudohypertrophy of the tongue: A clinical entity in disguise!
Journal Title: Indian Journal of Case Reports - Year 2018, Vol 4, Issue 3
Abstract
Isolated hypoglossal nerve palsy in the base of tongue carcinomas is seldom noticed. The clinical signs are subtle in early stage and can often be overlooked. There may be slight tongue deviation to the affected side, and the tongue feels soft and edematous on careful palpation. There may be associated enlargement of the affected side of the tongue known as “pseudo hypertrophy” due to denervation of its motor supply. Contrast-enhanced magnetic resonance imaging is the gold standard of diagnosis which shows diffuse fatty changes in the affected half of tongue with the preservation of architecture. Clinicians need to be aware of this clinical entity to distinguish it from actual tumor invasion.
Authors and Affiliations
Anindya Mukherjee, Thotten Vettil Satheesh Babu, Geetha Muttath, Sangeetha Nayanar
Keywords
Related Articles
- EP ID EP500538
- DOI -
- Views 112
- Downloads 0
Coexisting pathology of ectopic pregnancy and dermoid cyst: An uncommon occurrence
Mature cystic teratomas (dermoid cysts) are common benign ovarian neoplasms. About 10% of dermoid cysts are detected during pregnancy. Multiple gynecologic pathologies occurring together are uncommon, and both an ectopic...
An unusual presentation of anterior urethral valve in a child with diabetes mellitus
Anterior urethral valve (AUV) is identified to be a common source of congenital obstructive lesion of the anterior urethra. Up to 80% of children with AUVs develop bladder dysfunction, bladder instability, hyperreflexia,...
Percutaneous transluminal coronary angioplasty of anomalously originating left coronary artery from right coronary sinus - A case report
Laboratory investigations included Hb 15 gm%, WBC count 12000/μL, P 66% L30% E4%; PLT count 1.8 lakhs/μL; RBS 125 mg%; Urea 35mg%; Serum Creatinine 1mg%; Serum Sodium 140 mEq/L; Serum Potassium 3.4 mEq/L. Balloon angiopl...
Atypical median rhomboid glossitis: A case report
Median rhomboid glossitis or glossal central papillary atrophy is characterized by an area of redness and loss of filiform papillae, situated on the dorsum of the tongue in front of the circumvallate papillae. Smoking, d...
Rupture of an incisional hernia with evisceration of the gut: A case report
Spontaneous rupture of the abdominal wall hernia is very rare and usually occurs in incisional and recurrent groin hernias. Here, we report the case of rupture of a large incisional hernia with the evisceration of small...