title: Is Hypoglossal Nerve Palsy Caused by Craniocervical Junction Degenerative Disease an Underrecognized Entity?
abstract: Isolated hypoglossal nerve palsy is uncommon, and underlying craniocervical junction degenerative disease has rarely been reported as an underlying cause. To improve understanding of this entity, we present a retrospective series of 18 patients with hypoglossal palsy in whom twelfth cranial nerve compression within the premedullary cistern or hypoglossal canal, or both, was found secondary to craniocervical junction juxta-articular cysts, retro-odontoid fibrous pseudotumors, and osteophytes. The imaging techniques and characteristic craniocervical junction degenerative disease lesion imaging findings presented here might help clinicians interpreting hypoglossal palsy imaging studies avoid perceptual and interpretive errors commonly found in the present series.
authors.affiliation: From the Department of Radiology (S.M.W., R.D.G.), Mayo Clinic, Jacksonville, Florida weindling.steven@mayo.edu.
authors.forename: S M
authors.identifier: http://orcid.org/0000-0001-9316-9814
authors.initials: SM
authors.lastname: Weindling
authors.affiliation: From the Department of Radiology (S.M.W., R.D.G.), Mayo Clinic, Jacksonville, Florida.
authors.forename: R D
authors.identifier: http://orcid.org/0000-0001-5446-6082
authors.initials: RD
authors.lastname: Goff
authors.affiliation: Department of Radiology (C.P.W., D.R.D.), Mayo Clinic, Rochester, Minnesota.
authors.forename: C P
authors.identifier: http://orcid.org/0000-0001-5580-9622
authors.initials: CP
authors.lastname: Wood
authors.affiliation: Department of Radiology (C.P.W., D.R.D.), Mayo Clinic, Rochester, Minnesota.
authors.forename: D R
authors.identifier: http://orcid.org/0000-0002-4211-8790
authors.initials: DR
authors.lastname: DeLone
authors.affiliation: Department of Radiology (J.M.H.), Mayo Clinic Hospital, Phoenix, Arizona.
authors.forename: J M
authors.identifier: http://orcid.org/0000-0002-7179-5846
authors.initials: JM
authors.lastname: Hoxworth