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Cranial neuropathies
Hypoglossal myokymia presenting as paroxysmal dysarthria following head and neck radiotherapy
  1. Tiago Geraldes1,
  2. Montserrat Alemany2,
  3. Alicia Lozano3,
  4. Roser Velasco2
  1. 1 Neurology Department, Hospital Garcia de Orta, Almada, Portugal
  2. 2 Neuro-Oncology Unit, Neurology Department, ICO Hospital Duran i Reynals-IDIBELL, Barcelona, Spain
  3. 3 Radiation Oncology Department, Institut Català d'Oncologia, L'Hospitalet de Llobregat, Barcelona, Spain
  1. Correspondence to Dr Roser Velasco, Neuro-Oncology Unit, Neurology Department, Hospital Universitari de Bellvitge and ICO L´Hospitaltet, C/Feixa Llarga s/n, L’Hospitalet de Llobregat, 08907 Barcelona, Spain; rvelascof{at}bellvitgehospital.cat

https://doi.org/10.1136/jnnp-2016-315487

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    Case description

    A 64 year-old woman with prior history of clivus leiomyosarcoma developed brief episodes of paroxysmal dysarthria. Previously, she received trans-sphenoidal resection, chemotherapy and radiotherapy (60 Gy) that ended 2 years before (figure 1). Neurological examination revealed paroxysmal hypoglossal rippling movements on the right hemitongue without either atrophy …

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    Footnotes

    • Contributors TG and MA contributed equally to this manuscript.

    • Competing interests None declared.

    • Provenance and peer review Commissioned; externally peer reviewed.