Hypoglossal nerve palsy is not an uncommon neurological finding but primary nasopharyngeal tuberculosis (TB) presenting as hypoglossal nerve palsy is very rare. A 31-year-old woman presented with headache and progressive tongue deviation towards the right side. Diagnostic nasal endoscopy revealed soft tissue mass lesion on the posterior wall of nasopharynx while MRI revealed isointense tumour in nasopharynx with normal hypoglossal nerve and brain. Histopathological examination found TB. We discuss the clinical challenges and possible pathogenesis of this rare clinical entity.
Ahmed SV and Akram MS. Isolated unilateral idiopathic transient hypoglossal nerve palsy. BMJ Case Rep 2014. 28: 591.
5.
SayanAAbeysingheAHBrennanPA. Persistent idiopathic unilateral hypoglossal nerve palsy: a case report. Br J Oral Maxillofac Surg2014; 52: 572–574.
6.
FreedmanMJayasundaraHStassenLF. Idiopathic isolated unilateral hypoglossal nerve palsy: a diagnosis of exclusion. Oral Surg Oral Med Oral Pathol Oral Radiol Endod2008; 106: e22–26.
7.
EbadiHFathiD. Unilateral hypoglossal nerve palsy: as the only presentation of tuberculosis. Acta Med Iran2012; 50: 717–720.
8.
MartinsonFD. Primary tuberculosis of the nasopharynx in a Nigerian. J Laryngol Otol1967; 81: 229–233.
9.
TseGMKMaTKFChanABW. Tuberculosis of the nasopharynx: a rare entity revisited. Laryngoscope2003; 113: 737–740.
10.
WaldronJVan HasseltCASkinnerDW. Tuberculosis of the nasopharynx: clinicopatholgical features. Clin Otolaryngol1992; 17: 57–59.
11.
PatilCKharat PatilRDeshmukhP. Primary tuberculosis of nasopharynx (adenoid)- a rare presentation. Asian Pac J Trop Med2013; 6: 246–248.
12.
SrivanitchapoomCSittitraiP. Nasopharyngeal tuberculosis: epidemiology, mechanism of infection, clinical manifestations, and management. Int J Otolaryngol2016; 2016: 4817429–4817429.
13.
KingADAhujaATTseGM. MR imaging features of nasopharyngeal tuberculosis: Report of three cases and literature review. AJNR Am J Neuroradiol2003; 24: 279–282.
