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A difficult case
Wisdom tooth extraction causing lingual nerve and styloglossus muscle damage: a mimic of multiple cranial nerve palsies
  1. Aisling S Carr1,
  2. Matthew Evans1,
  3. Sachit Shah2,
  4. Santi Catania3,
  5. Jason D Warren4,
  6. Michael J Gleeson5,
  7. Mary M Reilly1
  1. 1 MRC Centre for Neuromuscular Diseases, National Hospital of Neurology and Neurosurgery, London, UK
  2. 2 Department of Neuroradiology, National Hospital of Neurology and Neurosurgery, London, UK
  3. 3 Department of Neurophysiology, National Hospital of Neurology and Neurosurgery, London, UK
  4. 4 National Hospital of Neurology and Neurosurgery, London, UK
  5. 5 Department of Neurology, National Hospital of Neurology and Neurosurgery, London, UK
  1. Correspondence to Dr Aisling S Carr, MRC Centre for Neuromuscular Diseases, 8-11 Queen Square, National Hospital for Neurology and Neurosurgery, London, WC1N 3BG, UK; aisling.carr{at}uclh.nhs.uk

Abstract

The combination of tongue hemianaesthesia, dysgeusia, dysarthria and dysphagia suggests the involvement of multiple cranial nerves. We present a case with sudden onset of these symptoms immediately following wisdom tooth extraction and highlight the clinical features that allowed localisation of the lesion to a focal, iatrogenic injury of the lingual nerve and adjacent styloglossus muscle.

  • TRIGEMINAL NERVE
  • NEUROANATOMY
  • ORAL MEDICINE

https://doi.org/10.1136/practneurol-2016-001491

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    Footnotes

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed. This paper was reviewed by Tom Hughes, Cardiff, UK.