Hypoglossal Nerve: Difference between revisions

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== lesion  ==
== lesion  ==
1/ UMNL: unilateral: deviation of the tongue to the opposite side of the lesion.  
'''UMNL:'''
 
1/ unilateral: deviation of the tongue to the opposite side of the lesion.
 
2/
bilateral: inability to protrude the tongue.
bilateral: inability to protrude the tongue.
note in both cases there is no wasting or fasciculation.


2/LMNL: unilateral:  deviation of the tongue to the side of the lesion.
'''note in both cases there is no wasting or fasciculation'''.
bilateral:  inability to protrude the tongue.
 
note in both cases there is wasting and fasciculation.
'''LMNL:'''
 
1/unilateral:  deviation of the tongue to the side of the lesion.
 
2/bilateral:  inability to protrude the tongue.


'''note in both cases there is wasting and fasciculation.'''
== References ==
== References ==
1/Lin HC, Barkhaus PE. Cranial nerve XII: the hypoglossal nerve. Semin Neurol. 2009;29(1):45–52.<ref>1/Catala M, Kubis N. [https://www.sciencedirect.com/science/article/pii/B9780444529022000035 Gross anatomy and development of the peripheral nervous system.] Said G, Krarup C, editors. Handb Clin Neurol. 2013;115:29–41. 2/Lin HC, Barkhaus PE. Cranial nerve XII: the hypoglossal nerve. Semin Neurol. 2009;29(1):45–52.</ref>
1/Lin HC, Barkhaus PE. Cranial nerve XII: the hypoglossal nerve. Semin Neurol. 2009;29(1):45–52.<ref>1/Catala M, Kubis N. [https://www.sciencedirect.com/science/article/pii/B9780444529022000035 Gross anatomy and development of the peripheral nervous system.] Said G, Krarup C, editors. Handb Clin Neurol. 2013;115:29–41. 2/Lin HC, Barkhaus PE. Cranial nerve XII: the hypoglossal nerve. Semin Neurol. 2009;29(1):45–52.</ref>
<references />

Revision as of 01:39, 7 February 2021

Hypoglossal nerve

Introduction[edit | edit source]

It is the 12th cranial nerves that originate from the medulla obligate of the brain stem. It is mainly an efferent nerve for the tongue musculature.

innervation[edit | edit source]

It gives only somatic motor innervation for all extrinsic and intrinsic muscles of the tongue except the palatoglossus, innervated by the vagus nerve.

examination[edit | edit source]

Examining the hypoglossal nerve involves observation of the primary innervation target of the nerve; the tongue. The three observable aspects of the tongue are strength, bulk, and dexterity. Special attention is given when the tongue is weak, atrophied, moving abnormally, or impaired.

[1]

lesion[edit | edit source]

UMNL:

1/ unilateral: deviation of the tongue to the opposite side of the lesion.

2/ bilateral: inability to protrude the tongue.

note in both cases there is no wasting or fasciculation.

LMNL:

1/unilateral: deviation of the tongue to the side of the lesion.

2/bilateral: inability to protrude the tongue.

note in both cases there is wasting and fasciculation.

References[edit | edit source]

1/Lin HC, Barkhaus PE. Cranial nerve XII: the hypoglossal nerve. Semin Neurol. 2009;29(1):45–52.[2]

  1. physiotutors.Cranial Nerve 12 | Hypoglossal Nerve Assessment for Physiotherapists. available from:https://www.youtube.com/watch?v=e6X8vMYTSHs
  2. 1/Catala M, Kubis N. Gross anatomy and development of the peripheral nervous system. Said G, Krarup C, editors. Handb Clin Neurol. 2013;115:29–41. 2/Lin HC, Barkhaus PE. Cranial nerve XII: the hypoglossal nerve. Semin Neurol. 2009;29(1):45–52.