Isolated unilateral hypoglossal nerve palsy due to an atlanto-occipital juxta-articular cyst: illustrative case
AO juxta-articular cysts, although rare, should be considered in the differential diagnosis of isolated HNP. High-resolution imaging is crucial for accurate diagnosis. While surgical options exist, conservative management could be appropriate depending on the clinical scenario. CT-guided cyst aspiration can provide temporary relief, but long-term improvement is uncertain. This case emphasizes the link between spinal pathology and cranial nerve dysfunction, underscoring the need for individualized treatment approaches. https://thejns.org/doi/10.3171/CASE24776.
Authors
- Ivan H. El‐Sayed (ORCID: https://orcid.org/0000-0001-8121-3726)
- Armine T. Tayag
- Fred C. Lam
- Steven Chang (ORCID: https://orcid.org/0000-0002-3193-7969)
- W.P. Dillon (ORCID: https://orcid.org/0000-0002-7222-4615)
- Amit Persad (ORCID: https://orcid.org/0000-0001-6139-5542)
- Yusuke S. Hori (ORCID: https://orcid.org/0000-0001-9921-6810)
- Sunita D. Nasta (ORCID: https://orcid.org/0000-0002-8981-2931)
- Sara Coleman Emrich
- Jae‐Hyun Park (ORCID: https://orcid.org/0000-0002-9858-2592)
- Louisa Ustrzynski
- Deyaaldeen AbuReesh
Institutions
- University of California, San Francisco (US)
- Stanford University (US)
Publication Details
- Journal
- Journal of Neurosurgery Case Lessons
- Published
- 2025-03-24
- DOI
- https://doi.org/10.3171/case24776
- Primary Topic
- Spinal Dysraphism and Malformations
- Type
- article
- Field-Weighted Citation Impact
- 0.00