Recurrent macroglossia requiring tracheostomy after haemorrhagic basal ganglia stroke.

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Abstrakt

Tytuł:: Recurrent macroglossia requiring tracheostomy after haemorrhagic basal ganglia stroke.
Autorzy:: Osoba MY; Otolaryngology-Head and Neck Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Schneider AL; Otolaryngology-Head and Neck Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Alexiev B; Pathology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Matsuoka AJ; Otolaryngology-Head and Neck Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA .; Department of Communication Sciences and Disorders, Northwestern University, Evanston, Illinois, USA.; Hugh Knowles Center for Hearing Research, Northwestern University, Evanston, Illinois, USA.
Źródło:: BMJ case reports [BMJ Case Rep] 2021 Jan 11; Vol. 14 (1). Date of Electronic Publication: 2021 Jan 11.
Typ publikacji:: Case Reports; Journal Article
Język:: English
Imprint Name(s):: Original Publication: London : BMJ Pub. Group
MeSH Terms:: Tracheostomy*
Basal Ganglia Diseases/*complications
Hemorrhagic Stroke/*complications
Macroglossia/*etiology
Macroglossia/*therapy
Basal Ganglia Diseases/diagnosis ; Basal Ganglia Diseases/therapy ; Female ; Hemorrhagic Stroke/diagnosis ; Hemorrhagic Stroke/therapy ; Humans ; Macroglossia/diagnostic imaging ; Middle Aged ; Recurrence
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Contributed Indexing:: Keywords: dentistry and oral medicine; head and neck surgery; oral and maxillofacial surgery; otolaryngology / ENT; stroke
Entry Date(s):: Date Created: 20210112 Date Completed: 20210219 Latest Revision: 20230112
Update Code:: 20240105
PubMed Central ID:: PMC7802688
DOI:: 10.1136/bcr-2020-238775
PMID:: 33431468
: Czasopismo naukowe

A 50-year-old African American woman with hypertension, congestive heart failure, chronic kidney disease and prior cerebral vascular accident was transferred from an outside hospital after being found unresponsive and subsequently intubated for severe orolingual swelling. Imaging showed left thalamic haemorrhagic stroke, and the lingual swelling was clinically concerning for angio-oedema, with which a lingual biopsy was consistent. Work-up was negative for hereditary or acquired angio-oedema, and imaging was negative for structural causes. Of note, the patient had an episode of severe orolingual swelling 3 months prior to this presentation after suffering left thalamic haemorrhage which self-resolved after approximately 2 months. In both episodes lingual swelling predated receipt of tissue plasminogen activator and she had discontinued ACE inhibitor therapy since her first episode of tongue swelling. Despite medical and supportive management, tongue swelling progressed during admission and the decision was made to allow the patient's tongue swelling to self-resolve.
Competing Interests: Competing interests: None declared.
(© BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ.)

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