Isolated hypoglossal nerve neuropathy in vertebral dolichoectasia: Microvascular decompression by vessel transposition with Teflon cuff.

ABSTRACT:

Background

A clinical case of isolated unilateral hypoglossal nerve (HN) neuropathy, which spontaneously occurred from vertebral artery dolichoectasia and was cured by a new method of microvascular decompression by transposition of the vertebral artery using the Teflon cuff.

Case description

A young patient with an anamnesis of the disease for more than 4 years and complaints of a deviation of the tongue to the right and dysarthria was examined. MRI of the brain revealed compression of the medulla oblongata by an elongated, dilated, and deformed right vertebral artery. Compression of the medulla oblongata and HN was confirmed during surgery. A transposition of the vertebral artery was performed using a Teflon cuff in the ventral direction to the clivus. Three months after su

SUBMITTER: Rafaelyan A 

PROVIDER: S-EPMC9479612 | biostudies-literature | 2022

REPOSITORIES: biostudies-literature