ABSTRACT
A 40-year-old woman presented with insidious onset, gradually progressive dysarthria and inability to manoeuvre bolus of food in her mouth while eating. The duration of her symptoms was 3 months. On evaluation, the left half of her tongue was wasted. The tongue deviated to the left on protrusion. There were no clinical features suggestive of involvement of the ipsilateral 9th, 10th or 11th cranial nerves. MRI of the brain showed a large, fusiform lesion in the left hypoglossal canal, extending into the jugular canal. The lesion was surgically excised and found to be a schwannoma.
Subject(s)
Cranial Nerve Diseases/pathology , Hypoglossal Nerve Diseases/pathology , Hypoglossal Nerve/pathology , Neurilemmoma/pathology , Adult , Cranial Nerve Diseases/etiology , Diagnosis, Differential , Dysarthria/diagnosis , Dysarthria/etiology , Female , Humans , Hypoglossal Nerve Diseases/complications , Laryngoscopy/methods , Magnetic Resonance Imaging/methods , Neurilemmoma/complications , Neurilemmoma/diagnostic imaging , Neurilemmoma/surgery , Tongue/pathology , Tongue Diseases/pathology , Treatment OutcomeABSTRACT
We report a 57-year-old man presenting with symptoms of sharp pricking, exertional retrosternal chest pain multiple times, each episode lasting for a few seconds. On evaluation, the ECG of the patient showed normal sinus rhythm with T wave inversions in leads V1-V3. Troponin T test was negative. Transthoracic echocardiography showed a globular mass in the interventricular septum. Cardiac MRI was suspicious of the lesion to be a hydatid cyst. Surgical excision of the lesion followed by histopathology was confirmatory of hydatid cyst.
