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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.<\/jats:p>","DOI":"10.1177\/0049475516649894","type":"journal-article","created":{"date-parts":[[2016,6,2]],"date-time":"2016-06-02T20:08:14Z","timestamp":1464898094000},"page":"255-260","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Isolated tubercular hypoglossal nerve paralysis"],"prefix":"10.1177","volume":"47","author":[{"given":"JS","family":"Thakur","sequence":"first","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery (ENT), Indira Gandhi Medical College, Shimla, HP, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naina","family":"Verma","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery (ENT), Indira Gandhi Medical College, Shimla, HP, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shobha","family":"Mohindroo","sequence":"additional","affiliation":[{"name":"Department of Pathology, Indira Gandhi Medical College, Shimla, HP, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ramesh K","family":"Azad","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery (ENT), Indira Gandhi Medical College, Shimla, HP, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"NK","family":"Mohindroo","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery (ENT), Indira Gandhi Medical College, Shimla, HP, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2016,6,1]]},"reference":[{"key":"bibr1-0049475516649894","first-page":"4","volume":"2","author":"Sharma B","year":"2010","journal-title":"J Neurol Neurosci"},{"key":"bibr2-0049475516649894","doi-asserted-by":"publisher","DOI":"10.1159\/000104720"},{"key":"bibr3-0049475516649894","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.1996.00550060105023"},{"key":"bibr4-0049475516649894","doi-asserted-by":"crossref","unstructured":"Ahmed SV and Akram MS. 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