“…Hypoglossal nerve palsy may be related to various pathological processes. Differential diagnosis should include: submucosal tongue malignancies, primary skull base neoplasms (e.g., paragangliomas), bony skull base metastases, traumatic skull base fractures and internal carotid artery dissection 4,5 . The main symptoms associated to hypoglossal nerve palsy include dysarthria, altered swallowing and impaired tongue movement 3 .…”