Chronic inflammatory demyelinating polyneuropathy with tongue fasciculation: A case report

Roberto, Katrina T.; Antonio, Athena Kate D.; Fernandez, Marc Laurence L.; Damian, Ludwig F.

doi:10.1016/j.jocn.2019.08.081

Cited by 5 publications

(4 citation statements)

References 8 publications

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“…Since the presence of lingual fasciculations is mostly due to amyotrophic lateral sclerosis, it is rare to have to consider other diagnoses. However, this can sometimes be misleading, as has been reported in some clinical case reports or studies 5–11 …”

Section: Discussionmentioning

confidence: 99%

“…However, this can sometimes be misleading, as has been reported in some clinical case reports or studies. [5][6][7][8][9][10][11] This case report illustrates the importance of a complete examination of the oral cavity. This could be done by every doctor (physician, oral surgeon, dentist).…”

Section: Discussionmentioning

confidence: 99%

“…However, this can sometimes be misleading, as has been reported in some clinical case reports or studies. 5 , 6 , 7 , 8 , 9 , 10 , 11 …”

Section: Discussionmentioning

confidence: 99%

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Lingual fasciculation: A point of call for the diagnosis of amyotrophic lateral sclerosis

Galeazzi

Holzman

Mondoloni

et al. 2023

Clinical Case Reports

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A 60-year-old female patient, with no notable medical history, was referred by the internal medicine department for a dry mouth workup. The clinical examination revealed an absence of dryness, and the presence of lingual fasciculations, associated with difficulties in mastication and phonation. These symptoms appeared spontaneously 9 months before the consultation, after leaving confinement. Given the presence of lingual fasciculations, the diagnostic hypothesis of a neurological pathology, in particular amyotrophic lateral sclerosis (ALS), was suspected. After performing an electromyogram (EMG), the diagnosis of ALS was retained. Riluzole treatment was then started, and physical therapy sessions were scheduled. Riluzole allows an average gain of 4 to 6 months of life expectancy. Speech therapy and physical therapy allow to maintain the functions as long as possible and to improve the end-of-life conditions. The interest of early detection of ALS allows delaying the progression of the disease.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Lingual fasciculation: A point of call for the diagnosis of amyotrophic lateral sclerosis

Galeazzi

Holzman

Mondoloni

et al. 2023

Clinical Case Reports

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“…Typical CIDP patients usually have bilateral cranial nerve involvement, while MADSAM patients frequently have unilateral paralysis [ 3 ]. However, reports of hypoglossal neuropathy in CIDP are especially rare [ 2 , 12 ]. The present case adds to the few reported cases that indicate the presence of hypoglossal neuropathy in CIDP.…”

Section: Discussionmentioning

confidence: 99%

Chronic inflammatory demyelinating polyneuropathy with hypoglossal nerve involvement and inverted Beevor’s sign: case report

et al. 2021

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Background Cranial nerve involvement is not commonly encountered in chronic inflammatory demyelinating polyradiculoneuropathy (CIDP); this is especially true for involvement of the hypoglossal nerve. Neither Beevor's sign nor its inverted form has previously been described in CIDP. Case presentation A 28-year-old man presented with distal-predominant limb weakness and numbness at the age of 18. A diagnosis of CIDP was made, which was confirmed by electrodiagnostic evidence of demyelination. He responded well to intravenous immunoglobulin and glucocorticoid treatment and achieved remission for 5 years. However, the same symptoms relapsed at the age of 28 and lasted for 10 months. On examination, in addition to limb sensory impairment and muscle weakness, mild bilateral facial paresis, tongue atrophy and fasciculations, and inverted Beevor's sign were also observed. A brief literature review of cranial nerve involvements in CIDP and Beevor's sign or its inverted form were also performed. Conclusions Cranial nerves may be affected in patients with CIDP. Facial palsy is most frequently present, while hypoglossal nerve involvement is rare. Inverted Beevor's sign can appear in CIDP patients.

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Hypoglossal nerve involvement and sternocleidomastoid muscle atrophy in chronic inflammatory demyelinating polyneuropathy with Hashimoto's thyroiditis: A case report and literature review

Chen,

Wang,

Zheng

2024

Heliyon

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Chronic inflammatory demyelinating polyneuropathy with tongue fasciculation: A case report

Cited by 5 publications

References 8 publications

Lingual fasciculation: A point of call for the diagnosis of amyotrophic lateral sclerosis

Lingual fasciculation: A point of call for the diagnosis of amyotrophic lateral sclerosis

Chronic inflammatory demyelinating polyneuropathy with hypoglossal nerve involvement and inverted Beevor’s sign: case report

Hypoglossal nerve involvement and sternocleidomastoid muscle atrophy in chronic inflammatory demyelinating polyneuropathy with Hashimoto's thyroiditis: A case report and literature review

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