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Article
November 1984

Isolated, Reversible, Hypoglossal Nerve Palsy

Author Affiliations

From the Departments of Human Morphology and Medicine (Neurology), Faculty of Medicine, American University of Beirut, Beirut, Lebanon. Dr Afifi is presently with the University of Iowa Hospitals and Clinics, Iowa City.

Arch Neurol. 1984;41(11):1218. doi:10.1001/archneur.1984.04050220120032
Abstract

Tsolated hypoglossal nerve palsy is a rare condition. Intramedullary lesions usually involve adjacent nuclei or tracts, and peripheral lesions usually involve other lower cranial nerves. There are a few reports in the literature of isolated, unilateral hypoglossal nerve palsy secondary to an infectious process, vaccination, aneurysms, trauma, caries, dislocation of vertebrae, and intracranial tumor. We report a case of unilateral, isolated hypoglossal nerve palsy following a common cold and with full recovery.

REPORT OF A CASE  A 55-year-old normotensive man was well until one week before admission when he experienced symptoms and signs of a common cold without fever, but associated with severe left-sided headache. Two days following the onset of the upper respiratory tract infection, he felt that his tongue was heavy. There was no history of vaccination or trauma.Results of his general physical examination were normal. Blood pressure was 130/ 80 mm Hg. Results of his neurological

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