Bilateral Hypoglossal Nerve Palsy due to Brainstem Infarction: A Rare Presentation of Presumed Pyogenic Meningitis

Kariyawasam, A. G. T. A.; Fonseka, C. L.; Singhapura, S. D. A. L.; Hewavithana, J. S.; Herath, H. M. M.; Pathirana, K.D.

doi:10.1155/2018/8270903

Cited by 4 publications

(3 citation statements)

References 15 publications

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“…The incidence of BM is higher among developing nations in comparison to developed ones. 2,3 Group B Streptococci and E.coli are the commonest causative organisms involved among neonates having meningitis. Neisseria meningitides, Streptococcus pneumoniae and Hemophilus influenza type b are some of the most common orgnasims involved in meningitis beyond neonatal age group.…”

Section: Introductionmentioning

confidence: 99%

Frequency of sensorineural hearing loss in children with bacterial meningitis.

Safdar

Mehar

Naz

et al. 2020

TPMJ

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Objectives: To determine the frequency of sensorineural hearing loss (SNHL) in children with bacterial meningitis. Study Design: Cross Sectional study. Setting: Department of Paediatric Medicine Nishtar Hospital, Multan. Period: October 2019 to March 2020. Material & Methods: The study was conducted after permission from ethical committee. A total of 151 patients admitted with bacterial meningitis were enrolled. Apart from the presenting complaints, necessary information like the age and gender were noted. Examination of the child was done to assess the condition of child. Brainstem evoked response audiometry (BERA) test was performed before discharge of the patient from the hospital. The outcome variable that is SNHL in bacterial meningitis assessed by BERA test was noted in a specifically designed Performa. Results: Out of total of 151 patients, males were 83 (55%) while females 68 (45%). Overall mean age was 11.85+6.12 months. SNHL was found in 26 (17.2%) children. There was no significant effect of age or gender on the frequencies of SNHL. Conclusion: SNHL is a frequently encountered complication in our population of children with bacterial meningitis. SNHL should be carefully sought out and properly diagnosed in all the patients presenting with bacterial meningitis.

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Section: Introductionmentioning

confidence: 99%

Frequency of sensorineural hearing loss in children with bacterial meningitis.

Safdar

Mehar

Naz

et al. 2020

TPMJ

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“…Bilateral hypoglossal involvement is an even more unusual finding, with few cases reported in the literature [4][5][6][7]. Many causes of IHNP have been reported in the literature, including malignancies, stroke, multiple sclerosis, sequelae of carotid endarterectomy, Guillain-Barré syndrome, head and neck trauma, post-central nervous system infection [8] post-neurosurgical and otolaryngologic procedures [9][10][11][12], bronchoscopy [13], use of a laryngeal mask airway, and subsequent to general anesthesia and orotracheal intubation [14][15][16]. In the former, nerve compression and overstretching could occur during position changes (including neck hyperextension for laryngoscopy and surgical positioning) [14][15][16].…”

Section: Introductionmentioning

confidence: 99%

A Physical Medicine and Rehabilitation Approach to Bilateral Hypoglossal Palsy After Orotracheal Intubation: A Case Report

Oliveira¹,

Teixeira-Vaz²,

Caldeira³

et al. 2022

Cureus

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Isolated hypoglossal nerve palsy is rare, usually unilateral, and typically associated with other neurologic lesions. Very few cases of bilateral hypoglossal nerve palsy have been reported. This report describes the case of a 34-year-old man who was admitted with community-acquired pneumonia and required invasive mechanical ventilation, after which severe tongue paresis, dysarthria, and dysphagia (Functional Oral Intake Scale (FOIS) 3) were reported. After the diagnostic workup, isolated cryptogenic bilateral hypoglossal nerve palsy was assumed, and a rehabilitation program was started. After hospital discharge, the patient presented with tongue atrophy; inability to elevate, protrude, or lateralize the tongue; dysarthria; and increased oral transit time with compensatory cervical extension when swallowing (FOIS 4). Four months after starting the rehabilitation program, there was evidence of improvement in tongue atrophy and mobility, along with a reduction of dysphagia severity (FOIS 6). About 10 months after starting the program, tongue mobility was almost normal, and the patient had a normal diet without limitations (FOIS 7). Despite the rarity of bilateral hypoglossal nerve palsy, this entity is associated with relevant functional impairments. A multidisciplinary approach to diagnosis and tailored rehabilitation programs are highly valuable in the management of these patients.

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“…Pyogenic meningitis is a life threatening condition while survivors having increased risk of long term complications. Developing countries are more prone to have pyogenic meningitis with poor outcomes in comparison with the developed ones [2,3].…”

Section: Introductionmentioning

confidence: 99%

Frequency of Sensorineural Hearing Loss among Children with Pyogenic Meningitis

Baig

Khan

Iqbal

et al. 2021

JPRI

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Aim: To find out the frequency of sensorineural hearing loss among children with pyogenic meningitis. Study Design: Cross-sectional. Place and Duration of Study: Study was conducted at Ziauddin university hospital during the period of July 2019 to February 2020. Methodology: About 96 participants were enrolled in the study between the age group of one month up to 12 years. Patients were included on the basis of clinical presentation and laboratory findings of pyogenic meningitis. An expert audiologist performed the brainstem evoked response audiometry test before discharging the patient from the hospital. For data analysis SPSS version-20 was used. All the quantitative variables were calculated as mean with standard deviation while qualitative data were presented as frequency and percentages. To find out association between variables, the Mann Whitney U-test and chi-square test was applied while P-value ≤0.05 was considered as significant. Results: Mean age with standard deviation was 6.8 ±2.3. Majority of the study participants were boys (57%). The frequency of sensorineural hearing loss was 17%. It was more among females than their male counter parts that was 64.7% and 35.3% respectively but no significant association was reported. The younger age group was having higher frequency of sensorineural hearing loss (47.1%), followed by the age group of 6-8 years (29.4%) and the very small number of participants were affected from the age group of 9-12 years (23.5%) but all the age groups were having no significant association with frequency of hearing loss. Conclusion: It can be concluded that sensorineural hearing loss is the most common complication reported among the children with pyogenic meningitis in current setup so there is a need of early evaluation of hearing problems in all patients diagnosed with pyogenic meningitis.

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Bilateral Hypoglossal Nerve Palsy due to Brainstem Infarction: A Rare Presentation of Presumed Pyogenic Meningitis

Cited by 4 publications

References 15 publications

Frequency of sensorineural hearing loss in children with bacterial meningitis.

Frequency of sensorineural hearing loss in children with bacterial meningitis.

A Physical Medicine and Rehabilitation Approach to Bilateral Hypoglossal Palsy After Orotracheal Intubation: A Case Report

Frequency of Sensorineural Hearing Loss among Children with Pyogenic Meningitis

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