Misdiagnosis: Hypoglossal palsy mimicking bulbar onset amyotrophic lateral sclerosis
Bulbar onset amyotrophic lateral sclerosis (bALS) is a currently incurable neurodegenerative condition characterized by insidious progression of bulbar muscle paresis; namely dyspnea, dysarthria, and dysphagia. The diagnosis of bALS requires exclusion of mimicking pathologies as the diagnosis of bAL...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2019-03-01
|
| Series: | eNeurologicalSci |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405650218300601 |
| _version_ | 1819207282816188416 |
|---|---|
| author | Eric D. Goldstein Benjamin H. Eidelman |
| author_facet | Eric D. Goldstein Benjamin H. Eidelman |
| author_sort | Eric D. Goldstein |
| collection | DOAJ |
| description | Bulbar onset amyotrophic lateral sclerosis (bALS) is a currently incurable neurodegenerative condition characterized by insidious progression of bulbar muscle paresis; namely dyspnea, dysarthria, and dysphagia. The diagnosis of bALS requires exclusion of mimicking pathologies as the diagnosis of bALS may have significant implications on patients' quality of life, future planning, and familial/social dynamics. Herein we present two cases which were misdiagnosed as bALS when in fact a structural lesion of the hypoglossal nerve was causative. This article may serve as a reminder to entertain alternative diagnoses prior to arriving at a diagnosis of bALS. Keywords: ALS, Misdiagnosis, Dysarthria, Dysphagia, Motor neuron disease |
| first_indexed | 2024-12-23T05:21:01Z |
| format | Article |
| id | doaj.art-1d7110c5217c460e87beeef890009245 |
| institution | Directory Open Access Journal |
| issn | 2405-6502 |
| language | English |
| last_indexed | 2024-12-23T05:21:01Z |
| publishDate | 2019-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | eNeurologicalSci |
| spelling | doaj.art-1d7110c5217c460e87beeef8900092452022-12-21T17:58:42ZengElseviereNeurologicalSci2405-65022019-03-011468Misdiagnosis: Hypoglossal palsy mimicking bulbar onset amyotrophic lateral sclerosisEric D. Goldstein0Benjamin H. Eidelman1Corresponding author at: Department of Neurology, 4500 San Pablo Rd Cannaday 2E, Jacksonville, FL 32224, USA.; Mayo Clinic Florida, Department of Neurology, USAMayo Clinic Florida, Department of Neurology, USABulbar onset amyotrophic lateral sclerosis (bALS) is a currently incurable neurodegenerative condition characterized by insidious progression of bulbar muscle paresis; namely dyspnea, dysarthria, and dysphagia. The diagnosis of bALS requires exclusion of mimicking pathologies as the diagnosis of bALS may have significant implications on patients' quality of life, future planning, and familial/social dynamics. Herein we present two cases which were misdiagnosed as bALS when in fact a structural lesion of the hypoglossal nerve was causative. This article may serve as a reminder to entertain alternative diagnoses prior to arriving at a diagnosis of bALS. Keywords: ALS, Misdiagnosis, Dysarthria, Dysphagia, Motor neuron diseasehttp://www.sciencedirect.com/science/article/pii/S2405650218300601 |
| spellingShingle | Eric D. Goldstein Benjamin H. Eidelman Misdiagnosis: Hypoglossal palsy mimicking bulbar onset amyotrophic lateral sclerosis eNeurologicalSci |
| title | Misdiagnosis: Hypoglossal palsy mimicking bulbar onset amyotrophic lateral sclerosis |
| title_full | Misdiagnosis: Hypoglossal palsy mimicking bulbar onset amyotrophic lateral sclerosis |
| title_fullStr | Misdiagnosis: Hypoglossal palsy mimicking bulbar onset amyotrophic lateral sclerosis |
| title_full_unstemmed | Misdiagnosis: Hypoglossal palsy mimicking bulbar onset amyotrophic lateral sclerosis |
| title_short | Misdiagnosis: Hypoglossal palsy mimicking bulbar onset amyotrophic lateral sclerosis |
| title_sort | misdiagnosis hypoglossal palsy mimicking bulbar onset amyotrophic lateral sclerosis |
| url | http://www.sciencedirect.com/science/article/pii/S2405650218300601 |
| work_keys_str_mv | AT ericdgoldstein misdiagnosishypoglossalpalsymimickingbulbaronsetamyotrophiclateralsclerosis AT benjaminheidelman misdiagnosishypoglossalpalsymimickingbulbaronsetamyotrophiclateralsclerosis |