Hypoglossal nerve palsy

Hypoglassal nerve palsy refers to paralysis of the 12th cranial nerve. It is most often caused by a tumor and causes wasting and twitching of one side of the tongue.

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

• 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

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

• Atrophy and fasciculations on one side of the tongue