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Tongue Deviation in a Man with Alcoholism

What is the diagnosis?

Following an altercation in a bar, a 54-year-old alcoholic man developed right-sided facial pain; right-sided headache; and left hemiparesis that included the lower face, arm, and leg. The protruded tongue was noted to deviate sharply to the right (see image).

The diagnosis has now been published. View reader-submitted diagnoses and the actual diagnosis and discussion.

Thomas Swift, MD

Published in Journal Watch Neurology January 20, 2009

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