A Case of Isolated Unilateral Glossopharyngeal Nerve Palsy

Savarimuthu, Monisha K.; Nair, Anil K.

doi:10.3121/cmr.2018.1452

Cited by 4 publications

(3 citation statements)

References 18 publications

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“…Bilateral facial nerve palsy is a relatively rare GBS presentation but has been observed in some cases [ 5 ]. There have also been rare cases of glossopharyngeal nerve palsy secondary to CN ischemia and GBS, especially the PCB variant [ 6 ]. However, bilateral involvement of the glossopharyngeal nerve secondary to GBS has never been reported before.…”

Section: Discussionmentioning

confidence: 99%

A Case of Pharyngeal-Cervical-Brachial Variant of Guillain-Barré Syndrome With Bilateral Glossopharyngeal Paralysis

He¹,

Kartiko²,

Selim³

2021

Cureus

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Guillain-Barré Syndrome (GBS) is a rapidly evolving autoimmune inflammatory disease of the peripheral nerves. It classically presents with progressive symmetrical ascending muscle weakness and hyporeflexia. The pharyngeal-cervical-brachial (PCB) variant is a rare variant of GBS that is characterized by axonal rather than demyelinating neuropathy and presents with rapidly progressive oropharyngeal (facial palsy, dysarthria) and cervicobrachial weakness, associated upper limb weakness, and hyporeflexia. Because it is rare, the PCB variant of GBS is unfamiliar to many neurologists and it is often misdiagnosed as stroke, myasthenia gravis, or botulism. The prevalence of this variant is estimated to be about 3% of all GBS patients. We describe the only known case presentation of the PCB variant of GBS that presents with bilateral glossopharyngeal paralysis. A 39-year-old African American female presented with progressive oropharyngeal and cervicobrachial weakness along with bilateral glossopharyngeal paralysis. The patient was diagnosed based on clinical suspicion, presentation, and serum ganglioside antibodies.

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Section: Discussionmentioning

confidence: 99%

A Case of Pharyngeal-Cervical-Brachial Variant of Guillain-Barré Syndrome With Bilateral Glossopharyngeal Paralysis

He¹,

Kartiko²,

Selim³

2021

Cureus

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“…It was rarely reported but it has not been analysed in correlation with PSD. [11][12][13][14][15] There are no reports in the literature on a correlation between diabetes and moderate and severe PSD according to PAS. 16 This study is the first attempt to evaluate diabetes as a risk factor for PSD confirmed with FEES with emphasis to silent aspiration (SA) as a high risk of AP.…”

Section: Introductionmentioning

confidence: 99%

Assessment of diabetes as a risk factor for neurogenic dysphagia confirmed by FEES examination in post-CVA patients

Misiowiec,

Zajączkiewicz,

Jarmołowicz-Aniołkowska

et al. 2023

Pol. Ann. Med.

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IntroductionDiabetes mellitus (DM) is an independent factor for the occurrence of neurogenic dysphagia following an acute cerebrovascular accident in the form of a stroke. This study assesses the role of DM as a risk factor for post-stroke dysphagia (PSD), confirmed by the fiberoptic endoscopic examination of swallowing (FEES) with particular emphasis on silent aspiration (SA) as a high risk factor of aspiration pneumonia (AP).AimThe aim of the study is to assess the role of DM as a risk factor for PSD.Material and methodsStatistical analysis was performed on the cohort of 81 post-cerebrovascular-accident patients hospitalized in the neurological rehabilitation department. DM was diagnosed in more than one third of the cohort (35.8%). After the FEES examination, which was assessed in the penetration–aspiration scale (PAS), an analysis of DM incidence was performed in patients with diagnosed pharyngeal dysphagia of moderate degree (PAS 3–6) and severe degree (PAS 7–8).Results and discussionThe incidence of DM in patients with moderate dysphagia was lower than in the cohort. The incidence of DM in patients with severe dysphagia (aspiration) was comparable to the percentage in the cohort. Although diabetes was twice as frequent among patients with aspiration than among those with mild dysphagia (24% vs. 12%), the odds ratio (OR) of the diabetes incidence in these groups was not statistically significant.ConclusionsAlthough DM is an independent factor for PSD occurrence after cerebrovascular accident in the form of a stroke and a potential factor for lower cranial nerve neuropathy, no correlation between DM and PSD was found.

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“…The glossopharyngeal nerve (CN IX) provides motor, sensory, and parasympathetic innervation to the tongue, pharynx, and hypopharynx and functions to elevate the larynx and pharynx during swallowing 3,4 . Glossopharyngeal palsy is characterized by dysphagia, impaired gag reflex, parotid gland dysfunction, and reduced sensation over the posterior tongue and pharynx 5,6 . A multi-institutional study found 1 hypoglossal nerve injury after posterior cervical laminectomy and no cases of glossopharyngeal nerve palsy 1 .…”

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confidence: 99%

Hypoglossal and Glossopharyngeal Nerve Palsy After Anterior Cervical Decompression and Fusion

Simon,

Du,

Parel

et al. 2024

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Case: A 69-year-old man underwent a C3-4 anterior cervical discectomy and fusion and developed postoperative hypoglossal and glossopharyngeal palsies that resolved with symptomatic treatment. Conclusion: Cranial nerve palsy is a rare and possibly under-reported injury after higher-level cervical spine surgery. Conscientious positioning and awareness of these nerves during surgical exposure are crucial to minimizing cranial nerve palsies. Proper workup to identify these palsies and differentiate them from other complications is necessary to guide proper treatment.

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A Case of Isolated Unilateral Glossopharyngeal Nerve Palsy

Cited by 4 publications

References 18 publications

A Case of Pharyngeal-Cervical-Brachial Variant of Guillain-Barré Syndrome With Bilateral Glossopharyngeal Paralysis

A Case of Pharyngeal-Cervical-Brachial Variant of Guillain-Barré Syndrome With Bilateral Glossopharyngeal Paralysis

Assessment of diabetes as a risk factor for neurogenic dysphagia confirmed by FEES examination in post-CVA patients

Hypoglossal and Glossopharyngeal Nerve Palsy After Anterior Cervical Decompression and Fusion

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