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[PMID]:29187691
[Au] Autor:Fujiwara S; Yoshimura H; Nishiya K; Oshima K; Kawamoto M; Kohara N
[Ad] Endereço:Department of Neurology, Kobe City Medical Center General Hospital.
[Ti] Título:[Tapia's syndrome following transesophageal echocardiography during an open-heart operation: a case report].
[So] Source:Rinsho Shinkeigaku;57(12):785-787, 2017 Dec 27.
[Is] ISSN:1882-0654
[Cp] País de publicação:Japan
[La] Idioma:jpn
[Ab] Resumo:A 67-year-old man presented with hoarseness, dysarthria and deviation of the tongue to the left side the day after the open-heart operation under general anesthesia. Brain MRI demonstrated no causal lesion, and laryngoscope showed left vocal cord abductor palsy, so we diagnosed him with Tapia's syndrome (i.e., concomitant paralysis of the left recurrent and hypoglossal nerve). His neurological symptoms recovered gradually and improved completely four months after the onset. Tapia's syndrome is a rare condition caused by the extra cranial lesion of the recurrent laryngeal branch of the vagus nerve and the hypoglossal nerve, and mostly described as a complication of tracheal intubation. In this case, transesophageal echo probe has been held in the left side of the pharynx, so compression to the posterior wall of pharynx by the probe resulted in this condition, and to the best of our knowledge, this is the first report of Tapia's syndrome due to transesophageal echocardiography during an open-heart operation. This rare syndrome should be considered as a differential diagnosis of dysarthria and tongue deviation after a procedure associated with compression to the pharynx.
[Mh] Termos MeSH primário: Procedimentos Cirúrgicos Cardíacos
Ecocardiografia Transesofagiana/efeitos adversos
Doenças do Nervo Hipoglosso/etiologia
Complicações Intraoperatórias/etiologia
Paralisia das Pregas Vocais/etiologia
[Mh] Termos MeSH secundário: Idoso
Diagnóstico Diferencial
Disartria/etiologia
Ecocardiografia Transesofagiana/instrumentação
Seres Humanos
Doenças do Nervo Hipoglosso/diagnóstico
Masculino
Síndrome
Paralisia das Pregas Vocais/diagnóstico
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180112
[Lr] Data última revisão:
180112
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171201
[St] Status:MEDLINE
[do] DOI:10.5692/clinicalneurol.cn-001097


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[PMID]:27772673
[Au] Autor:Gold M; Fenig M
[Ad] Endereço:Department of Radiology, Lincoln Medical Center, New York, NY; Weill Cornell Medical Center, New York, NY.
[Ti] Título:Male With Pain in His Neck.
[So] Source:Ann Emerg Med;68(5):545-561, 2016 Nov.
[Is] ISSN:1097-6760
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Dor nas Costas/diagnóstico por imagem
Vértebras Cervicais
Doenças do Nervo Hipoglosso/diagnóstico por imagem
Cervicalgia/diagnóstico por imagem
[Mh] Termos MeSH secundário: Adulto
Dor nas Costas/etiologia
Seres Humanos
Doenças do Nervo Hipoglosso/etiologia
Masculino
Cervicalgia/etiologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171211
[Lr] Data última revisão:
171211
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE


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[PMID]:28415060
[Au] Autor:Inaka Y; Otani N; Nishida S; Ueno H; Tomiyama A; Tomura S; Toyooka T; Wada K; Mori K
[Ad] Endereço:Department of Neurosurgery, National Defense Medical College.
[Ti] Título:[A Case of Foramen Magnum Meningioma Manifesting as Hypoglossal Nerve Palsy].
[So] Source:No Shinkei Geka;45(4):345-350, 2017 Apr.
[Is] ISSN:0301-2603
[Cp] País de publicação:Japan
[La] Idioma:jpn
[Ab] Resumo:We report a case of foramen magnum meningioma manifesting as hypoglossal nerve palsy. A 72-year-old woman presented with progressive hypoglossal nerve palsy and lingual atrophy on the left side. Gadolinium-enhanced T1-weighted magnetic resonance imaging revealed a heterogeneously enhanced mass lesion with dural tail sign partially extending into the hypoglossal canal. The transcondylar approach was performed to expose the hypoglossal canal and resect the tumor completely. Histological examination revealed a transitional meningioma. The postoperative course was uneventful. Hypoglossal nerve palsy improved gradually after the operation.
[Mh] Termos MeSH primário: Forame Magno/cirurgia
Doenças do Nervo Hipoglosso/cirurgia
Neoplasias Meníngeas/cirurgia
Meningioma/cirurgia
Neoplasias da Base do Crânio/cirurgia
[Mh] Termos MeSH secundário: Idoso
Feminino
Forame Magno/patologia
Seres Humanos
Doenças do Nervo Hipoglosso/diagnóstico
Imagem por Ressonância Magnética/métodos
Neoplasias Meníngeas/diagnóstico
Meningioma/diagnóstico
Neoplasias da Base do Crânio/diagnóstico
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170831
[Lr] Data última revisão:
170831
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170418
[St] Status:MEDLINE
[do] DOI:10.11477/mf.1436203507


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[PMID]:28067182
[Au] Autor:Taube MA; Potter GM; Lloyd SK; Freeman SR
[Ad] Endereço:Department of Otolaryngology,Salford Royal NHS Foundation Trust,UK.
[Ti] Título:Successful conservative treatment of an intracranial pneumatocele with post-traumatic hypoglossal nerve palsy secondary to diffuse temporal bone pneumocele: case report and review of the literature.
[So] Source:J Laryngol Otol;131(2):181-184, 2017 Feb.
[Is] ISSN:1748-5460
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: A pneumocele occurs when an aerated cranial cavity pathologically expands; a pneumatocele occurs when air extends from an aerated cavity into adjacent soft tissues forming a secondary cavity. Both pathologies are extremely rare with relation to the mastoid. This paper describes a case of a mastoid pneumocele that caused hypoglossal nerve palsy and an intracranial pneumatocele. CASE REPORT: A 46-year-old man presented, following minor head trauma, with hypoglossal nerve palsy secondary to a fracture through the hypoglossal canal. The fracture occurred as a result of a diffuse temporal bone pneumocele involving bone on both sides of the hypoglossal canal. Further slow expansion of the mastoid pneumocele led to a secondary middle fossa pneumatocele. The patient refused treatment and so has been managed conservatively for more than five years, and he remains well. CONCLUSION: While most patients with otogenic pneumatoceles have presented acutely in extremis secondary to tension pneumocephalus, our patient has remained largely asymptomatic. Aetiology, clinical features and management options of temporal bone pneumoceles and otogenic pneumatoceles are reviewed.
[Mh] Termos MeSH primário: Doenças Ósseas/terapia
Tratamento Conservador
Doenças do Nervo Hipoglosso/terapia
Traumatismos do Nervo Hipoglosso/terapia
Processo Mastoide/diagnóstico por imagem
Pneumocefalia/terapia
[Mh] Termos MeSH secundário: Doenças Ósseas/complicações
Doenças Ósseas/diagnóstico por imagem
Traumatismos Craniocerebrais/complicações
Seres Humanos
Doenças do Nervo Hipoglosso/diagnóstico
Doenças do Nervo Hipoglosso/etiologia
Traumatismos do Nervo Hipoglosso/complicações
Traumatismos do Nervo Hipoglosso/diagnóstico por imagem
Masculino
Meia-Idade
Pneumocefalia/complicações
Pneumocefalia/diagnóstico por imagem
Osso Temporal/diagnóstico por imagem
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170213
[Lr] Data última revisão:
170213
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170110
[St] Status:MEDLINE
[do] DOI:10.1017/S0022215116009816


  5 / 365 MEDLINE  
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[PMID]:27801771
[Au] Autor:Chi MS; Ng SH; Chan LY
[Ad] Endereço:Department of Medicine and Geriatrics, Tuen Mun Hospital, Tuen Mun, NT, Hong Kong.
[Ti] Título:Asymmetric Acute Motor Axonal Neuropathy With Unilateral Tongue Swelling Mimicking Stroke.
[So] Source:Neurologist;21(6):106-108, 2016 Nov.
[Is] ISSN:2331-2637
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:A 60-year-old man presented with acute onset of left hemiparesis and left hypoglossal nerve palsy with ipsilateral tongue swelling. He then progressed to tetraparesis in a few days. Cerebrospinal fluid showed cell protein dissociation. A nerve conduction study showed motor axonal neuropathy with sensory sparing. A subsequent blood test revealed anti-GD1b IgG antibody positivity. He was diagnosed to have acute motor axonal neuropathy (AMAN) and treated with a course of intravenous immunoglobulin with slow improvement. This is probably the first AMAN with asymmetrical presentation mimicking stroke reported in the literature in detail. The anti-GD1b IgG antibody is also not commonly associated with AMAN.
[Mh] Termos MeSH primário: Doenças do Nervo Hipoglosso/diagnóstico
Neurônios Motores
Polineuropatias/diagnóstico
Quadriplegia/diagnóstico
Acidente Vascular Cerebral/diagnóstico
[Mh] Termos MeSH secundário: Autoanticorpos/imunologia
Diagnóstico Diferencial
Progressão da Doença
Gangliosídeos/imunologia
Síndrome de Guillain-Barré/imunologia
Seres Humanos
Doenças do Nervo Hipoglosso/tratamento farmacológico
Doenças do Nervo Hipoglosso/imunologia
Imunoglobulinas Intravenosas/uso terapêutico
Fatores Imunológicos/uso terapêutico
Masculino
Meia-Idade
Condução Nervosa
Polineuropatias/tratamento farmacológico
Polineuropatias/imunologia
Quadriplegia/tratamento farmacológico
Quadriplegia/imunologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Autoantibodies); 0 (Gangliosides); 0 (Immunoglobulins, Intravenous); 0 (Immunologic Factors); 19553-76-5 (ganglioside, GD1b)
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161102
[St] Status:MEDLINE


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[PMID]:27429166
[Au] Autor:Yu YJ; Warman Chardon J; Bourque PR
[Ad] Endereço:The Ottawa Hospital, Department of Medicine, Division of Neurology, Ottawa, Ontario, Canada.
[Ti] Título:Systematic analysis of clinical deficits in unilateral hypoglossal nerve palsy.
[So] Source:Muscle Nerve;54(6):1055-1058, 2016 Dec.
[Is] ISSN:1097-4598
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: The clinical characteristics of unilateral hypoglossal neuropathy have not been systematically analyzed. METHODS: We documented subjective abnormalities of speech and swallowing, and photographed 9 specific tongue movements and positions. Objective deficits were scored independently by 2 examiners. RESULTS: Eight patients were analyzed. Some degree of dysarthria and dysphagia was noticed by 7 and 8 patients, respectively, mostly resolving within a few months. In all subjects, there was contralateral deviation of the tongue at rest and ipsilateral deviation upon forward protrusion. Furthermore, 7 of 8 patients had deficits in using the tongue to indent the ipsilateral cheek and cover the upper lip. CONCLUSIONS: Unilateral hypoglossal nerve palsy produces mostly subtle and transient patient symptoms, even when complete. Beyond the classic sign of ipsilateral deviation on protrusion, reliable signs are contralateral deviation at rest, paresis of ipsilateral movement inside the mouth, and paresis of elevation of the tongue tip. Muscle Nerve 54: 1055-1058, 2016.
[Mh] Termos MeSH primário: Transtornos de Deglutição/etiologia
Disartria/etiologia
Lateralidade Funcional/fisiologia
Doenças do Nervo Hipoglosso/complicações
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Feminino
Seres Humanos
Masculino
Meia-Idade
Exame Neurológico
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170630
[Lr] Data última revisão:
170630
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160719
[St] Status:MEDLINE
[do] DOI:10.1002/mus.25258


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[PMID]:27288404
[Au] Autor:Okamura A; Nakaoka M; Ohbayashi N; Yahara K; Nabika S
[Ad] Endereço:Department of Neurosurgery, Matsue Red Cross Hospital, Japan akitake-okamura@hotmail.co.jp.
[Ti] Título:Intraoperative cone-beam computed tomography contributes to avoiding hypoglossal nerve palsy during transvenous embolization for dural arteriovenous fistula of the anterior condylar confluence.
[So] Source:Interv Neuroradiol;22(5):584-9, 2016 Oct.
[Is] ISSN:2385-2011
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Dural arteriovenous fistula of the anterior condylar confluence (ACC-DAVF) is a rare subtype of DAVFs that occurs around the hypoglossal canal. Transvenous embolization (TVE) with coils has been performed for most ACC-DAVFs with a high clinical cure rate. However, some reports call attention to hypoglossal nerve palsy associated with TVE due to coil mass compression of the hypoglossal nerve caused by coil deviation from the ACC to the anterior condylar vein (ACV). Herein, we report a case of ACC-DAVF in which an intraoperative cone-beam computed tomography (CT) contributed to avoiding hypoglossal nerve palsy. CASE PRESENTATION: A 74-year-old man presented with left pulse-synchronous tinnitus. An angiography detected left ACC-DAVF mainly supplied by the left ascending pharyngeal artery and mainly drained through the ACV. The two fistulous points were medial side of the ACC and the venous pouch just cranial of the ACC. We performed TVE detecting the fistulous points by contralateral external carotid angiography (ECAG). The diseased venous pouch and ACC were packed with seven coils but a slight remnant of the DAVF was recognized. Because a cone-beam CT revealed that the coil mass was localized in the lateral lower clivus osseous without deviation to the hypoglossal canal, we finished TVE to avoid hypoglossal nerve palsy. Postoperatively, no complication was observed. No recurrence of symptoms or imaging findings were detected during a five-month follow-up period. CONCLUSION: An intraoperative cone-beam CT contributed to avoiding hypoglossal nerve palsy by estimating the relationship between the coil mass and the hypoglossal canal during TVE of ACC-DAVF.
[Mh] Termos MeSH primário: Malformações Vasculares do Sistema Nervoso Central/diagnóstico por imagem
Malformações Vasculares do Sistema Nervoso Central/terapia
Tomografia Computadorizada de Feixe Cônico
Embolização Terapêutica/métodos
Doenças do Nervo Hipoglosso/prevenção & controle
[Mh] Termos MeSH secundário: Idoso
Angiografia Cerebral
Diagnóstico Diferencial
Seres Humanos
Masculino
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:171001
[Lr] Data última revisão:
171001
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160612
[St] Status:MEDLINE
[do] DOI:10.1177/1591019916654141


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[PMID]:27214783
[Au] Autor:Stino AM; Smith BE; Temkit M; Reddy SN
[Ad] Endereço:Department of Neurology, The Ohio State University, 395 West 12th Avenue, 7th Floor, Columbus, Ohio, 43210, USA.
[Ti] Título:Hypoglossal nerve palsy: 245 cases.
[So] Source:Muscle Nerve;54(6):1050-1054, 2016 Dec.
[Is] ISSN:1097-4598
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Apart from a case series of 100 subjects in 1996 and several small cohorts, there have been no large retrospective series of cranial nerve XII (CN XII) palsy. METHODS: From 1984 to 2014, 245 cases of CN XII palsy were identified via retrospective chart review using historical and exam findings that confirmed the diagnosis. In addition to clinical characteristics, univariate and multivariate models were investigated to predict neoplastic CN XII palsy. RESULTS: Major etiologic categories included: postoperative (29.3%), idiopathic (15.1%), primary neoplastic (14.2%), metastatic malignancy (13.0%), inflammatory (7.3%), radiation (6.1%), and traumatic (4.1%). A multivariate model revealed male gender and a personal history of cancer as predictive of neoplastic CN XII palsy. CONCLUSIONS: The most frequent etiologies and disease categories of CN XII palsy were identified, and male gender and personal history of cancer were found to be predictive of a neoplastic cause of CN XII palsy. Muscle Nerve 54: 1050-1054, 2016.
[Mh] Termos MeSH primário: Doenças do Nervo Hipoglosso/etiologia
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Estudos de Coortes
Feminino
Seres Humanos
Doenças do Nervo Hipoglosso/diagnóstico
Masculino
Meia-Idade
Neoplasias/complicações
Complicações Pós-Operatórias/fisiopatologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170630
[Lr] Data última revisão:
170630
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160524
[St] Status:MEDLINE
[do] DOI:10.1002/mus.25197


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[PMID]:27157500
[Au] Autor:Kang K; Moon BG
[Ad] Endereço:Department of Neurology, Eulji General Hospital, Eulji University, 68 Hangeulbiseok-ro, Nowon-gu, Seoul 01830, Republic of Korea. Electronic address: cobnut1@gmail.com.
[Ti] Título:Developmental abnormalities of the craniocervical junction resulting in Collet-Sicard syndrome.
[So] Source:Spine J;16(9):e635-9, 2016 Sep.
[Is] ISSN:1878-1632
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND CONTEXT: Collet-Sicard syndrome describes the paralysis of cranial nerves IX-XII and is the most frequently reported neurologic complication associated with Jefferson fractures. As the lateral mass of the atlas is displaced laterally toward the styloid process and the stylohyoid ligament, the lateral mass impinges on cranial nerves IX-XII. However, Collet-Sicard syndrome in association with other anomalies of the atlas has rarely been reported. PURPOSE: The aim of this study was to report an unusual case of Collet-Sicard syndrome as a result of developmental abnormalities of the craniocervical junction. STUDY DESIGN/SETTING: This is a case report of a single patient. METHODS: Chart and radiographic data were reviewed and reported. RESULTS: We report a 70-year-old man who developed hoarseness, dysarthria, and dysphagia from developmental abnormalities of the craniocervical junction including a congenital occiput-C1-C3 fusion and hypoplastic dens. On computed tomography, the distance between the left transverse process of the atlas and the left styloid process of the skull was 3 mm. CONCLUSION: In suspected Collet-Sicard syndrome, developmental abnormalities of the craniocervical junction should be considered in the differential diagnosis.
[Mh] Termos MeSH primário: Atlas Cervical/anormalidades
Anormalidades Craniofaciais/diagnóstico por imagem
Doenças do Nervo Glossofaríngeo/diagnóstico por imagem
Doenças do Nervo Hipoglosso/diagnóstico por imagem
[Mh] Termos MeSH secundário: Idoso
Anormalidades Craniofaciais/complicações
Doenças do Nervo Glossofaríngeo/etiologia
Seres Humanos
Doenças do Nervo Hipoglosso/etiologia
Masculino
Síndrome
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170724
[Lr] Data última revisão:
170724
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160510
[St] Status:MEDLINE


  10 / 365 MEDLINE  
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[PMID]:26930339
[Au] Autor:Bakshi J; Mohammed AW; Lele S; Nada R
[Ad] Endereço:Corresponding author: Dr. Abdul Wadood Mohammed, Valiyatharayil House, (PO) Edakkazhiyur, (DT) Thrissur, Kerala, India 680515. Email: wadood_abd@yahoo.co.in From the Department of Otolaryngology-Head and Neck Surgery (Dr. Bakshi) and the Department of Histopathology (Dr. Nada), Post Graduate Institute of Medical Education and Research, Chandigarh, India; the Department of ENT, King Faisal University College of Medicine, Al-Ahsa, Kingdom of Saudi Arabia (Dr. Mohammed); and the Vijaya E.N.T. Care Centre, Bangalore, India (Dr. Lele).
[Ti] Título:Ganglioneuromas involving the hypoglossal nerve and the vagus nerve in a child: Surgical difficulties.
[So] Source:Ear Nose Throat J;95(2):E22-4, 2016 Feb.
[Is] ISSN:1942-7522
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Ganglioneuromas are benign tumors that arise from the Schwann cells of the autonomic nervous system. They are usually seen in the posterior mediastinum and the paraspinal retroperitoneum in relation to the sympathetic chain. In the head and neck, they are usually related to the cervical sympathetic ganglia or to the ganglion nodosum of the vagus nerve or the hypoglossal nerve. We describe what we believe is the first reported case of multiple ganglioneuromas of the parapharyngeal space in which two separate cranial nerves were involved. The patient was a 10-year-old girl who presented with a 2-year history of a painless and slowly progressive swelling on the left side of her neck and a 1-year history hoarseness. She had no history of relevant trauma or surgery. Intraoperatively, we found two tumors in the left parapharyngeal space-one that had arisen from the hypoglossal nerve and the other from the vagus nerve. Both ganglioneuromas were surgically removed, but the affected nerves had to be sacrificed. Postoperatively, the patient exhibited hypoglossal nerve and vocal fold palsy, but she was asymptomatic. In addition to the case description, we discuss the difficulties we faced during surgical excision.
[Mh] Termos MeSH primário: Neoplasias dos Nervos Cranianos/cirurgia
Ganglioneuroma/cirurgia
Doenças do Nervo Hipoglosso/cirurgia
Neoplasias Primárias Múltiplas/cirurgia
Neoplasias Faríngeas/cirurgia
Doenças do Nervo Vago/cirurgia
[Mh] Termos MeSH secundário: Criança
Neoplasias dos Nervos Cranianos/complicações
Neoplasias dos Nervos Cranianos/patologia
Feminino
Ganglioneuroma/complicações
Ganglioneuroma/patologia
Rouquidão/etiologia
Seres Humanos
Doenças do Nervo Hipoglosso/complicações
Doenças do Nervo Hipoglosso/patologia
Pescoço
Neoplasias Primárias Múltiplas/complicações
Neoplasias Primárias Múltiplas/patologia
Neoplasias Faríngeas/complicações
Neoplasias Faríngeas/patologia
Doenças do Nervo Vago/complicações
Doenças do Nervo Vago/patologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170124
[Lr] Data última revisão:
170124
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160302
[St] Status:MEDLINE



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