Hypoglossal nerve palsy

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Causes

Common Causes

• Acoustic neuromas
• Chordomas
• Gliomas
• Metastatic carcinomas
• Nasopharyngeal carcinomas

Causes In Alphabetical Order

• Acoustic neuromas
• Cancer
• Carotid artery dissection
• Chordoma
• Glioma
• High forceps delivery
• Idiopathic isolated hypoglossal nerve palsy
• Impacted tooth
• Infectious mononucleosis
• Intubation
• Kennedy's disease
• Metastatic carcinomas
• Multiple sclerosis
• Nasopharyngeal carcinomas

Epidemiology and Demographics

Tumors account for approximately half the cases, and the most common causes include metastatic carcinomas, chordomas, nasopharyngeal carcinomas, gliomas, and acoustic neuromas.

Diagnosis

Physical Examination

Neurologic

• Atrophy and fasciculations on one side of the tongue