Abstract
We report a patient with unilateral tongue weakness secondary due to an isolated lower motor neuron hypoglossal nerve palsy, which was caused by a right vertebral artery dissection in the lower neck. The patient had a boggy tongue with a deviation to right side but an otherwise normal neurological examination. MRA presented narrow lumen of the right vertebral artery in the neck. After initially treating the patient with aspirin in ER and later with warfarin for three months, there was complete recanalization of the right vertebral artery. Only one other case has been reported before with this vertebral artery dissection and twelfth nerve palsy.
- Received June 16, 2011.
- Revision received August 11, 2011.
- Accepted August 17, 2011.
