Gerace, C.; Fele, R. M.; Pingi, A.
April 2005
Journal of Neurology, Neurosurgery & Psychiatry;Apr2005, Vol. 76 Issue 4, p595
Academic Journal
The article focuses on a case of capsular lingual paresis. Its symptoms are sudden weakness in mastication and mild dysarthria. When the patient was asked to protrude her tongue, a left lingual paresis became evident, however, the tongue was normal while at rest in the mouth. Neurological examination was otherwise normal. A brain computed tomogram gave evidence of a small haematoma limited to the posterior limb of the right internal capsule. No other abnormal radiological findings were shown to be present on successive brain magnetic resonance imaging. Facial and lingual hemiparesis with mild limb involvement have been previously described in capsular genu syndrome, suggesting that motor corticopontine and corticocobulbar fibres are situated more in the genu of the internal capsule.


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