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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. 1MRC Centre for Neuromuscular Diseases, National Hospital of Neurology and Neurosurgery, London, UK
  2. 2Department of Neuroradiology, National Hospital of Neurology and Neurosurgery, London, UK
  3. 3Department of Neurophysiology, National Hospital of Neurology and Neurosurgery, London, UK
  4. 4National Hospital of Neurology and Neurosurgery, London, UK
  5. 5Department 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.

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