Subject(s)
Body Piercing/adverse effects , Foreign Bodies/complications , Tongue/injuries , Adult , Animals , Dogs , Humans , MaleABSTRACT
A case is presented of a cystic lesion, which presented at the base of the right side of the neck. The lesion was more obvious on forced expiration. Aspiration revealed chylous fluid and a Magnetic Resonance Imaging (M.R.I.) scan revealed a well-circumscribed cystic lesion with no deeper extension. So far, this chylous cyst has not required treatment, but is being kept under regular review.
Subject(s)
Chyle , Cysts/pathology , Neck/pathology , Adult , Biopsy, Needle , Cyst Fluid , Female , Humans , Magnetic Resonance ImagingABSTRACT
The case of a patient with an unusual cause of an isolated hypoglossal nerve palsy is presented. Magnetic resonance (MR) imaging demonstrated marked dilatation and ectasia of the right vertebral artery and basilar artery, thereby causing compression of the brainstem. It is therefore proposed that a dilated vascular loop compression of the nerve rootlets, as they exit the medulla, has caused the hypoglossal nerve palsy. This case demonstrates that excellent images can be obtained from MR imaging, and also emphasises that other pathologies must be considered in the differential diagnosis of hypoglossal nerve palsy.
