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What is the most common CN damaged due to radiation
Hypoglossal
Myokymia
Involuntary, continuous muscle contractions
Fibrillation potentials
Muscle fiber contracts but it is not visible
Indicates recent/active denervation
What is thought to be the cause of myokymia
Hyperexcitability of nerve caused by demyelination
Mechanisms causing radiation induced nerve injury
Compression of nerve due to radiation fibrosis, nerve ischemia (restricted/blocked blood flow) caused by fibrosis
How would nerve compression vs nerve ischemia present
Compression: fibrillation potentials
Ischemia: myokymia