“…Extracranially, this nerve runs near the internal carotid artery, the vagus and accessory nerves, and communicates to the vagus, first, and second cervical nerves. 1) Damage to any point along this trajectory from the medulla to the lingual muscles causes a hypoglossal nerve palsy, and in the present case, the compression of the hypoglossal nerve at the hypoglossal canal by an osteophyte caused hypoglossal nerve palsy. Because of the anatomical characteristics of the hypoglossal nerve, hypoglossal nerve palsy is usually associated with other cranial nerve palsies (IX, X, and XI) and/or pyramidal signs, 2) and IHP is rare.…”