Lingual necrosis is a rarely observed pathology. The authors report a case of a lingual necrosis in the follow up of an irradiation. Horton's disease is the first diagnosis to evoke facing a lingual necrosis. This pathology is also one of the radiotherapy's complication, irradiation accelerates atherosclerosis process. An early treatment of this arterial complication can be proposed by a good prepossession and a doppler-pulse supervision of neck vessels.
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