Abstract

A previously healthy, 44-year-old woman suffered five to six attacks of retching and extensive vomiting over a period of 30 hours. Metoclopramide (10mg) was administered intravenously on the emergency ward for antiemetic treatment. Within a few hours the patient experienced a left-sided deviation of the tongue, accompanied by slightly slurred speech, difficulty with food transfer, and left-sided headache and neck pain. Subsequent neurological examination revealed a unilateral left hypoglossal nerve palsy (Fig.

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