Title:
Hypoglossal paresis as the only complication of malignant otitis externa
Authors:
S. T. Exarchos , V. A. Lachanas , S. Tsiouvaka , E. Kapsalaki and J. G. Bizakis 1
Institutions:
1Department of Otorhinolaryngology, Department of Radiology, University Hospital of Larissa, Greece
Keywords:
Malignant external otitis; hypoglossal paresis
Pages:
235 - 238
Abstract:
Hypoglossal paresis as the only complication of malignant otitis externa.Background: Ipsilateral hypoglossal nerve (XII) paresis has never been reported as the first and only complication of malignant otitis external (MOE). Case report:A 73-year-old diabetic male with persistent left temporomandibular joint ache and ear fullness was admitted withthediagnosisofMOE.Hereceivedintravenousciprofloxacinfor14daysandthencontinuedwithoraladministration (per os).Aftertwomonths,hereturnedwithotalgia,swallowingdifficulty,andipsilateralXIIparesis.Hewasre-admitted, received intravenous ciprofloxacin for 6 weeks, and continued with per os ciprofloxacin for 6 months. A Ga -scan 67 6 months after the first admission revealed no active infection. Two years after his last admission, the patient still has XII paresis. There is no other cranial nerve involvement and inflammatory markers continue to be normal. Conclusion: Doctors should consider MOE in the differential diagnosis when there is XII paresis, especially in diabetic and immunocompromised patients.
Issue:
Vol. 11, 2015, 3rd trimester


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Hypoglossal paresis as the only complication of malignant otitis externa