CRANIAL NERVE XII: HYPOGLOSSAL NERVE

on 1.12.06 with 4 comments



INNERVATION: All intrinsic and extrinsic musculature of the tongue, EXCEPT the Palatoglossus which is innervated by the Vagus.

PATH:

  • It exits the posterior cranial fossa through the Hypoglossal Canal, which is anterior to the Occipital Condyles.
  • It may pass through the Carotid Sheath or on either side of it.
  • It passes toward the tongue medial to the posterior belly of the Digastric muscle.
  • Upper portions of the Ansa Cervicales will hang off the Hypoglossal in order to reach the strap muscles, but the fibers do not intermix.

DAMAGE TO HYPOGLOSSAL:

  1. It would be difficult to stick tongue out.
  2. The tongue would deviate toward the nonfunctional side, due to functional muscles protruding it in that direction.
  • If tongue deviates to the left, then damage is to the left hypoglossal nerve.

Category: Anatomy Notes

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4 comments:

Anonymous said...
September 27, 2008 at 12:06 PM

would damage to this nerve ie by piercing cause damage to other areas ie could it affect joint movemnet in the hips and restricted walking?

Vishaal said...
September 29, 2008 at 12:05 AM

Damage to this nerve will not affect any other part of the body except the neck and oral muscles.

Anonymous said...
July 6, 2009 at 6:08 AM

Could surgical removal of the parathyroid gland cause damage to this nerve and subsequently effect one's ability to move the tongue (it gets fatigued during chewing, talking) and to swallow? Are pain, numbness and fatigue symptoms of hypoglossal nerve damage?

Vishaal said...
July 6, 2009 at 10:21 AM

It is unlikely that there will be any damage to this nerve while removing the parathyroid glands. However damage to this nerve might cause difficulty while chewing and to some extent swallowing.

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