Physical examination revealed devia­ But you really need to understand the pain, where it happens, and how it manifests. As a result, people have difficulty speaking, chewing, and swallowing. hypoglossal nerve injury Sofia Avitia, MD; Ryan F. Osborne, MD, FACS Figure 1.Physical examinationreveals deviation ofthetongueandglossal paralysis and atrophy. Damage to the hypoglossal nerve is a relatively uncommon cranial nerve palsy. Care should be taken during posterior cervical surgery to avoid hyperflexion of the neck and endotracheal tube malposition. Oculomotor Nerve. Symptoms: Symptoms of hypoglossal nerve palsy typically include unilateral or bilateral tongue weakness with deviation towards the affected side on tongue protrusion, tongue atrophy (with scalloping or accentuation of the midline groove), fasciculation [medigoo.com] 1. If the symptoms are accompanied by acute pain, a possible cause may be dissection of the internal carotid artery. Which of the following best describes the symptoms of accessory nerve damage? We ask about general symptoms (anxious mood, depressed mood, fatigue, pain, and stress) regardless of condition. These are nerves that arise directly from the brain. Bilateral Hypoglossal Nerve Injury After Bilateral Carotid Endarterectomy Jose" A. Gutrecht, MD, and H. Royden Jones Jr., MD A case of severe bilateral injury to the hypoglossal nerves after two-stage carotid endarterectomy is described. But in order for you to understand the condition, let's take a look at some of the common symptoms of vagus nerve damage. Sometimes, a person could even experience slurred speech or feel as though they're choking when eating or drinking. Nine were isolated injuries, the other two were bilateral. Symptoms of optic nerve damage can represent changes in visual acuity, contrast, brightness, or color. Treatments for damage include tongue exercises, speech therapy, and, in rare cases, surgery. Symptoms of glossopharyngeal neuralgia typically occur in individuals over 40 or 50-years-old. Damage to the iliohypogastric nerve can also occur in transverse incisions of the lower abdomen, during a hysterectomy, for example. Answer and Explanation: 1 The hypoglossal nerve is responsible for movement of the tongue. (2013) examined 11 patients with hypoglossal nerve neurolemmomas. Hypoglossal nerve injury. Discussion and conclusion Most of the cases of iatrogenic hypoglossal nerve injury occur after direct transection or ligation of the hypoglos-sal nerve [7]. ity. As a result, people have difficulty speaking, chewing, and swallowing. Patients with HNP present with a wide range of symptoms, including difficulties with speech or swallowing . Hypoglossal palsy is the second most fre-quently reported cranial neuropathy: 19 out of 35 patients (54%) Difficulties in speech and swallowing. Signs of alcoholic polyneuropathy include: Tingling sensation in the arms, legs, hands, and feet Our results indicate that HNP could be more prevalent in cases with severe cervical kyphosis, being underdiagnosed due to the more apparent signs of the oropharyngeal narrowing. The hypoglossal nerve is exposed just anterior to the submandibular gland. Damage to the hypoglossal nerve is a relatively uncommon cranial nerve palsy. This nerve moves the tongue. Hypoglossal nerve disorders may be caused by tumors, strokes, infections, injuries, or amyotrophic lateral sclerosis. Weight-bearing on the affected side tends to aggravate the symptoms. Many etiologies are described that are unrelated to anesthesia such as tumors, stroke, trauma, or surgical dissection. However, chronic damage to the posterior portion of the optic nerve or chiasma is the most frequent (posterior radiation-induced optic neuropathy), with gradual impairment of visual acuity over 1-14 years after RT [18]. Any experience with regeneration/healing? The hypoglossal nerve helps you move your tongue. Rarely, the cause cannot be determined, and there is no symptom remission. Hypoglossal nerve<br />The hypoglossal nerve is the twelfth cranial nerve (XII), leading to the tongue. Symptoms of Hypoglossal Nerve Disorders The tongue becomes weak on the affected side and eventually wastes away (atrophies). This nerve moves the tongue. Usually, one side of the tongue is affected, and when the person sticks out his or her tongue, it deviates or points toward the side that is damaged. The HN exits the base of the skull through the hypoglossal canal and descends in the neck between the sternocleidomastoid and internal carotid artery, lateral to the vagus nerve, to reach the stylopharyngeal, styloglossus, and stylohyoid muscles. Hypoglossal nerve injury during cervical spine surgery is an extremely rare complication. In terms of your damaged vagus nerve, the pain is a result of a mechanical pressure, injury, or . Bacterial Diseases and Nerve Damage. 2). For instance, damage to the optic nerves may affect vision, even blindness in the worse conditions. Patients may also exhibit signs related to the other cranial nerves, bleeding from the ears and nose, and cerebrospinal fluid leaking from the ears ( CSF otorrhoea ) and nose ( CSF rhinorrhoea ). Cervical roots (C2, C3, C4): The cervical nerve plexus connects the SAN to the hypoglossal nerve (via the ansa hypoglossi), stellate ganglion, and mandibular branch of the facial nerve. Symptoms of impaired function of the hypoglossal nerve include: 2 Weakness of the tongue on the affected side Atrophy of the tongue on the affected side Impaired speech Difficulty chewing and swallowing Nerve damage from ALS often causes small twitching movements on the surface of the tongue. 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