2020
DOI: 10.1007/s12630-020-01672-x
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Macroglossia following intracranial injury

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“…Several cases of acquired macroglossia were also reported following neurosurgical procedures involving the posterior fossa; in such cases, 3 pathophysiologic mechanisms were proposed: (a) impaired venous drainage due to dependent tongue positioning; (b) venous drainage obstruction with neck flexion/rotation; and (c) reperfusion injury following arterial hypoperfusion resulting in oropharyngeal swelling and airway obstruction 17 . Rarely, as sometimes observed in S1 radiculopathy (painless swelling of the corresponding calf), paradoxical muscle enlargement of the hemitongue may be observed in patients with hypoglossal nerve palsy 18 .…”
Section: Macroglossia and Lingual Hypertrophymentioning
confidence: 99%
“…Several cases of acquired macroglossia were also reported following neurosurgical procedures involving the posterior fossa; in such cases, 3 pathophysiologic mechanisms were proposed: (a) impaired venous drainage due to dependent tongue positioning; (b) venous drainage obstruction with neck flexion/rotation; and (c) reperfusion injury following arterial hypoperfusion resulting in oropharyngeal swelling and airway obstruction 17 . Rarely, as sometimes observed in S1 radiculopathy (painless swelling of the corresponding calf), paradoxical muscle enlargement of the hemitongue may be observed in patients with hypoglossal nerve palsy 18 .…”
Section: Macroglossia and Lingual Hypertrophymentioning
confidence: 99%