{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:41:35Z","timestamp":1787067695462,"version":"build-2736575974"},"reference-count":68,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"12","license":[{"start":{"date-parts":[[2025,3,24]],"date-time":"2025-03-24T00:00:00Z","timestamp":1742774400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Cosmet Laser Ther"],"published-print":{"date-parts":[[2025,3,24]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Atlanto-occipital (AO) juxta-articular cysts are positioned within the hypoglossal canal, which houses the hypoglossal nerve. These cysts, whether intraneural or extraneural, can exert localized pressure on the nerve, causing isolated ipsilateral hypoglossal nerve palsy (HNP), an unusual clinical finding. The authors contribute to the scarce literature on this atypical and challenging pathology, reviewing the diagnostic complexities, preoperative indicators, key imaging features, and management strategies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>A 55-year-old male presented with tongue deviation, difficulty moving his tongue, and slurring of speech. Physical examination revealed isolated right HNP. MRI showed a lobulated T2 hyperintense lesion with thin rim enhancement at the right hypoglossal canal, extending to the AO joint, suggesting a juxta-articular cyst. CT-guided cyst aspiration decompressed the lesion but yielded no fluid. The patient\u2019s symptoms temporarily improved but then were unchanged over 10 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>AO juxta-articular cysts, although rare, should be considered in the differential diagnosis of isolated HNP. High-resolution imaging is crucial for accurate diagnosis. While surgical options exist, conservative management could be appropriate depending on the clinical scenario. CT-guided cyst aspiration can provide temporary relief, but long-term improvement is uncertain. This case emphasizes the link between spinal pathology and cranial nerve dysfunction, underscoring the need for individualized treatment approaches.<\/jats:p>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/thejns.org\/doi\/10.3171\/CASE24776\">https:\/\/thejns.org\/doi\/10.3171\/CASE24776<\/jats:ext-link>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case24776","type":"journal-article","created":{"date-parts":[[2025,3,25]],"date-time":"2025-03-25T16:17:12Z","timestamp":1742919432000},"source":"Crossref","is-referenced-by-count":1,"title":["Isolated unilateral hypoglossal nerve palsy due to an atlanto-occipital juxta-articular cyst: illustrative case"],"prefix":"10.3171","volume":"9","author":[{"given":"Shagun R.","family":"Nasta","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Stanford University School of Medicine, Stanford, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amit R.","family":"Persad","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Stanford University School of Medicine, Stanford, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yusuke S.","family":"Hori","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Stanford University School of Medicine, Stanford, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9801-5037","authenticated-orcid":true,"given":"Fred C.","family":"Lam","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Stanford University School of Medicine, Stanford, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deyaaldeen","family":"Abu-Reesh","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Stanford University School of Medicine, Stanford, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Armine","family":"Tayag","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Stanford University School of Medicine, Stanford, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louisa","family":"Ustrzynski","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Stanford University School of Medicine, Stanford, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara C.","family":"Emrich","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Stanford University School of Medicine, Stanford, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William P.","family":"Dillon","sequence":"additional","affiliation":[{"name":"Department of Radiology, University of California, San Francisco, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ivan H.","family":"El-Sayed","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, University of California, San Francisco, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven D.","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Stanford University School of Medicine, Stanford, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David J.","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Stanford University School of Medicine, Stanford, California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"2","key":"bib1","series-title":"J Craniofac Surg","first-page":"424","article-title":"Unilateral isolated hypoglossal nerve palsy caused by gunshot injury","volume":"29","author":"Ozdemir","year":"2018","unstructured":"Ozdemir BKanat ABatcik SBatcik OECeliker MKayayurt K.Unilateral isolated hypoglossal nerve palsy caused by gunshot injury. J Craniofac Surg. 2018;29(2):424-426."},{"issue":"7-8","key":"bib2","series-title":"Ideggyogy Sz","first-page":"282","article-title":"Isolated hypoglossal nerve palsy due to a jugular foramen schwannoma","volume":"72","author":"\u00d6ztop-\u00c7akmak","year":"2019","unstructured":"\u00d6ztop-\u00c7akmak \u00d6Vanli-Yavuz EAyg\u00fcn SIsolated hypoglossal nerve palsy due to a jugular foramen schwannoma. Ideggyogy Sz. 2019;72(7-8):282-284."},{"issue":"1","key":"bib3","series-title":"Cureus","article-title":"Isolated hypoglossal nerve palsy secondary to oligosecretory multiple myeloma","volume":"15","author":"Muhar","year":"2023","unstructured":"Muhar BKCho SSidhu ASChang JLui F.Isolated hypoglossal nerve palsy secondary to oligosecretory multiple myeloma. Cureus. 2023;15(1):e33361."},{"issue":"5","key":"bib4","series-title":"Int J Environ Res Public Health","first-page":"2690","article-title":"Isolated hypoglossal nerve palsy as an early symptom of a granular cell tumor","volume":"19","author":"Lemound","year":"2022","unstructured":"Lemound JPapadimas DSkodda STannapfel AAlekseyev AKunkel M.Isolated hypoglossal nerve palsy as an early symptom of a granular cell tumor. Int J Environ Res Public Health. 2022;19(5):2690."},{"issue":"16","key":"bib5","series-title":"Neurology","first-page":"e1639","article-title":"Teaching NeuroImage: isolated unilateral hypoglossal nerve palsy due to skull base meningioma","volume":"97","author":"Coenen","year":"2021","unstructured":"Coenen JCleaver JJames RChohan G.Teaching NeuroImage: isolated unilateral hypoglossal nerve palsy due to skull base meningioma. Neurology. 2021;97(16):e1639-e1640."},{"issue":"6","key":"bib6","series-title":"Eur Radiol","first-page":"939","article-title":"Hypoglossal nerve palsy in nasopharyngeal carcinoma","volume":"8","author":"Chong","year":"1998","unstructured":"Chong VFFan YF.Hypoglossal nerve palsy in nasopharyngeal carcinoma. Eur Radiol. 1998;8(6):939-945."},{"issue":"5","key":"bib7","series-title":"J Am Assoc Nurse Pract","first-page":"354","article-title":"Burkitt lymphoma presenting with fever of unknown origin and isolated hypoglossal nerve palsy","volume":"32","author":"Seneca","year":"2020","unstructured":"Seneca KHNahass RGAdler RH.Burkitt lymphoma presenting with fever of unknown origin and isolated hypoglossal nerve palsy. J Am Assoc Nurse Pract. 2020;32(5):354-356."},{"key":"bib8","series-title":"Int J Surg Case Rep","first-page":"102","article-title":"Diagnostic pitfall: adenoid cystic carcinoma of the tongue presenting as an isolated hypoglossal nerve palsy, case report and literature review","volume":"25","author":"Wee","year":"2016","unstructured":"Wee HEAzhar RTang PYDiagnostic pitfall: adenoid cystic carcinoma of the tongue presenting as an isolated hypoglossal nerve palsy, case report and literature review. Int J Surg Case Rep. 2016;25:102-105."},{"key":"bib9","series-title":"Clin Exp Neurol","first-page":"213","article-title":"Isolated unilateral hypoglossal nerve palsy due to a chondroid chordoma","volume":"23","author":"Millingen","year":"1987","unstructured":"Millingen KPrentice M.Isolated unilateral hypoglossal nerve palsy due to a chondroid chordoma. Clin Exp Neurol. 1987;23:213-217."},{"issue":"5","key":"bib10","series-title":"Neurol Sci","first-page":"971","article-title":"Unilateral isolated hypoglossal neuropathy associated to jugular paraganglioma","volume":"39","author":"Martinez-Dubarbie","year":"2018","unstructured":"Martinez-Dubarbie FHerrera-Calvo GDrake-P\u00e9rez MRiancho J.Unilateral isolated hypoglossal neuropathy associated to jugular paraganglioma. Neurol Sci. 2018;39(5):971-972."},{"issue":"4","key":"bib11","series-title":"Br J Rheumatol","first-page":"317","article-title":"Bilateral hypoglossal nerve palsy due to vertical subluxation of the odontoid process in rheumatoid arthritis","volume":"27","author":"Macedo","year":"1988","unstructured":"Macedo TFGow PJHeap SWWallis WE.Bilateral hypoglossal nerve palsy due to vertical subluxation of the odontoid process in rheumatoid arthritis. Br J Rheumatol. 1988;27(4):317-320."},{"issue":"5","key":"bib12","series-title":"Joint Bone Spine","first-page":"547","article-title":"Hypoglossal nerve palsy secondary to cervical spine involvement in rheumatoid arthritis: clinical and radiological features","volume":"76","author":"Zeina","year":"2009","unstructured":"Zeina ARNachtigal AAvshovich NRosner IRozenbaum M.Hypoglossal nerve palsy secondary to cervical spine involvement in rheumatoid arthritis: clinical and radiological features. Joint Bone Spine. 2009;76(5):547-549."},{"issue":"3","key":"bib13","series-title":"J Neurosurg","first-page":"372","article-title":"Synovial cyst of spinal facet. Case report","volume":"41","author":"Kao","year":"1974","unstructured":"Kao CCWinkler SSTurner JH.Synovial cyst of spinal facet. Case report. J Neurosurg. 1974;41(3):372-376."},{"issue":"3","key":"bib14","series-title":"Neurosurgery","first-page":"415","article-title":"Lumbar synovial or ganglion cysts","volume":"19","author":"Kjerulf","year":"1986","unstructured":"Kjerulf TDTerry DWJrBoubelik RJ.Lumbar synovial or ganglion cysts. Neurosurgery. 1986;19(3):415-420."},{"issue":"14","key":"bib15","series-title":"J Neurosurg Case Lessons","first-page":"CASE2226","article-title":"Acute development of spinal lumbar synovial facet cyst within 1 week after lumbar decompression: illustrative case","volume":"3","author":"Sarmiento","year":"2022","unstructured":"Sarmiento JMFourman MSLovecchio FLyons KWFarmer JC.Acute development of spinal lumbar synovial facet cyst within 1 week after lumbar decompression: illustrative case. J Neurosurg Case Lessons. 2022;3(14):CASE2226."},{"issue":"6","key":"bib16","series-title":"Arch Neurol","first-page":"561","article-title":"Twelfth-nerve palsy: analysis of 100 cases","volume":"53","author":"Keane","year":"1996","unstructured":"Keane JR.Twelfth-nerve palsy: analysis of 100 cases. Arch Neurol. 1996;53(6):561-566."},{"issue":"6","key":"bib17","series-title":"Muscle Nerve","first-page":"1050","article-title":"Hypoglossal nerve palsy: 245 cases","volume":"54","author":"Stino","year":"2016","unstructured":"Stino AMSmith BETemkit MReddy SN.Hypoglossal nerve palsy: 245 cases. Muscle Nerve. 2016;54(6):1050-1054."},{"issue":"5","key":"bib18","series-title":"Radiographics","first-page":"939","article-title":"Hypoglossal nerve palsy: a segmental approach","volume":"14","author":"Thompson","year":"1994","unstructured":"Thompson EOSmoker WR.Hypoglossal nerve palsy: a segmental approach. Radiographics. 1994;14(5):939-958."},{"issue":"3","key":"bib19","series-title":"Neurochirurgie","first-page":"129","article-title":"Spontaneous regression of a symptomatic atlanto-occipital joint cyst. Case report","volume":"57","author":"H\u00e9naux","year":"2011","unstructured":"H\u00e9naux PLHamlat ARiffaud LGu\u00e9gan YMorandi X.Spontaneous regression of a symptomatic atlanto-occipital joint cyst. Case report. Neurochirurgie. 2011;57(3):129-132."},{"issue":"4","key":"bib20","series-title":"J Clin Neurosci","first-page":"492","article-title":"Isolated unilateral hypoglossal nerve paralysis caused by an atlanto-occipital joint synovial cyst","volume":"10","author":"Mujic","year":"2003","unstructured":"Mujic AHunn ALiddell JTaylor BHavlat MBeasley T.Isolated unilateral hypoglossal nerve paralysis caused by an atlanto-occipital joint synovial cyst. J Clin Neurosci. 2003;10(4):492-495."},{"key":"bib21","series-title":"World Neurosurg","first-page":"434","article-title":"Atlantooccipital synovial cyst with isolated hypoglossal nerve palsy: case report of nonfusion surgical approach and review of literature","volume":"126","author":"Gassie","year":"2019","unstructured":"Gassie KGrewal SChen SG.Atlantooccipital synovial cyst with isolated hypoglossal nerve palsy: case report of nonfusion surgical approach and review of literature. World Neurosurg. 2019;126:434-438."},{"issue":"6","key":"bib22","series-title":"Cureus","first-page":"e15951","article-title":"Unusual stroke-like symptoms in a patient with generalized osteoarthritis","volume":"13","author":"Medvec","year":"2021","unstructured":"Medvec ARShrestha SSchroeder LL.Unusual stroke-like symptoms in a patient with generalized osteoarthritis. Cureus. 2021;13(6):e15951."},{"issue":"5","key":"bib23","series-title":"J Neurosurg","first-page":"920","article-title":"Endoscope-assisted microsurgical resection of an intraneural ganglion cyst of the hypoglossal nerve","volume":"103","author":"Baldauf","year":"2005","unstructured":"Baldauf JJunghans DSchroeder HWS.Endoscope-assisted microsurgical resection of an intraneural ganglion cyst of the hypoglossal nerve. J Neurosurg. 2005;103(5):920-922."},{"issue":"3","key":"bib24","series-title":"J Neurosurg Spine","first-page":"234","article-title":"Isolated unilateral hypoglossal nerve palsy secondary to an atlantooccipital joint juxtafacet synovial cyst","volume":"10","author":"Elhammady","year":"2009","unstructured":"Elhammady MSFarhat HAziz-Sultan MAMorcos JJ.Isolated unilateral hypoglossal nerve palsy secondary to an atlantooccipital joint juxtafacet synovial cyst. J Neurosurg Spine. 2009;10(3):234-239."},{"issue":"4","key":"bib25","series-title":"Neurocirugia (Astur)","first-page":"322","article-title":"Isolated hypoglossal nerve palsy secondary to an atlantoccipital joint synovial cyst. Case report and literature review","volume":"21","author":"Sant\u00edn-Amo","year":"2010","unstructured":"Sant\u00edn-Amo JMCastro-Bouzas DPrieto-Gonz\u00e1lez AIsolated hypoglossal nerve palsy secondary to an atlantoccipital joint synovial cyst. Case report and literature review. Neurocirugia (Astur). 2010;21(4):322-325."},{"issue":"4","key":"bib26","series-title":"J Neurol Neurosurg Psychiatry","first-page":"376","article-title":"Neurological picture. Isolated hypoglossal nerve palsy caused by synovial cyst","volume":"82","author":"Hewett","year":"2011","unstructured":"Hewett RMStewart GE.Neurological picture. Isolated hypoglossal nerve palsy caused by synovial cyst. J Neurol Neurosurg Psychiatry. 2011;82(4):376-377."},{"issue":"2","key":"bib27","series-title":"Rev Neurol","first-page":"87","article-title":"Isolated paralysis of the hypoglossal nerve due to atlanto-occipital joint cysts","volume":"69","author":"Flores-Justa","year":"2019","unstructured":"Flores-Justa ASantin-Amo JMSesar AIsolated paralysis of the hypoglossal nerve due to atlanto-occipital joint cysts. Rev Neurol. 2019;69(2):87-88."},{"issue":"1","key":"bib28","series-title":"Case Rep Plast Surg Hand Surg","first-page":"131","article-title":"A rare cause of unilateral hypoglossal nerve palsy: case report of intraneural ganglion cyst of the hypoglossal nerve and review of the literature","volume":"6","author":"Oliver","year":"2019","unstructured":"Oliver JDForte AJ.A rare cause of unilateral hypoglossal nerve palsy: case report of intraneural ganglion cyst of the hypoglossal nerve and review of the literature. Case Rep Plast Surg Hand Surg. 2019;6(1):131-135."},{"issue":"1","key":"bib29","series-title":"Neurol India","first-page":"162","article-title":"Isolated 12th cranial nerve palsy due to skull base synovial cyst","volume":"72","author":"Renuji","year":"2024","unstructured":"Renuji BArif MNadarajah JBalagopal KPanattil JG.Isolated 12th cranial nerve palsy due to skull base synovial cyst. Neurol India. 2024;72(1):162-164."},{"issue":"1","key":"bib30","series-title":"J Neurol Surg Rep","first-page":"e180","article-title":"Case report: intraneural intracanalicular ganglion cyst of the hypoglossal nerve treated by extradural transcondylar approach","volume":"76","author":"Bilgin-Freiert","year":"2015","unstructured":"Bilgin-Freiert AFugleholm KPoulsgaard L.Case report: intraneural intracanalicular ganglion cyst of the hypoglossal nerve treated by extradural transcondylar approach. J Neurol Surg Rep. 2015;76(1):e180-e182."},{"issue":"8","key":"bib31","series-title":"J Clin Neurosci","first-page":"1114","article-title":"An intraneural ganglion cyst causing unilateral hypoglossal nerve palsy","volume":"18","author":"Gambhir","year":"2011","unstructured":"Gambhir SMujic AHunn A.An intraneural ganglion cyst causing unilateral hypoglossal nerve palsy. J Clin Neurosci. 2011;18(8):1114-1115."},{"issue":"2","key":"bib32","series-title":"J Neurosurg","first-page":"380","article-title":"Unilateral hypoglossal nerve palsy caused by an intraneural ganglion cyst","volume":"113","author":"Nonaka","year":"2010","unstructured":"Nonaka YGrossi PMFilomena CAFriedman AHFukushima T.Unilateral hypoglossal nerve palsy caused by an intraneural ganglion cyst. J Neurosurg. 2010;113(2):380-383."},{"issue":"4","key":"bib33","series-title":"Can J Neurol Sci","first-page":"560","article-title":"Hypoglossal canal cyst causing unilateral XII nerve palsy","volume":"48","author":"Wilton-Clark","year":"2021","unstructured":"Wilton-Clark MSMacIsaac RCamara-Lemarroy CR.Hypoglossal canal cyst causing unilateral XII nerve palsy. Can J Neurol Sci. 2021;48(4):560-561."},{"issue":"3","key":"bib34","series-title":"J Clin Neurosci","first-page":"472","article-title":"Intradural extraneural bilobate ganglion cyst of the atlanto-occipital joint compressing the hypoglossal nerve","volume":"19","author":"Giordano","year":"2012","unstructured":"Giordano MGerganov VMSamii ASamii M.Intradural extraneural bilobate ganglion cyst of the atlanto-occipital joint compressing the hypoglossal nerve. J Clin Neurosci. 2012;19(3):472-473."},{"issue":"2","key":"bib1","series-title":"J Craniofac Surg","first-page":"424","article-title":"Unilateral isolated hypoglossal nerve palsy caused by gunshot injury","volume":"29","author":"Ozdemir","year":"2018","unstructured":"Ozdemir BKanat ABatcik SBatcik OECeliker MKayayurt K.Unilateral isolated hypoglossal nerve palsy caused by gunshot injury. J Craniofac Surg. 2018;29(2):424-426."},{"issue":"7-8","key":"bib2","series-title":"Ideggyogy Sz","first-page":"282","article-title":"Isolated hypoglossal nerve palsy due to a jugular foramen schwannoma","volume":"72","author":"\u00d6ztop-\u00c7akmak","year":"2019","unstructured":"\u00d6ztop-\u00c7akmak \u00d6Vanli-Yavuz EAyg\u00fcn SIsolated hypoglossal nerve palsy due to a jugular foramen schwannoma. Ideggyogy Sz. 2019;72(7-8):282-284."},{"issue":"1","key":"bib3","series-title":"Cureus","article-title":"Isolated hypoglossal nerve palsy secondary to oligosecretory multiple myeloma","volume":"15","author":"Muhar","year":"2023","unstructured":"Muhar BKCho SSidhu ASChang JLui F.Isolated hypoglossal nerve palsy secondary to oligosecretory multiple myeloma. Cureus. 2023;15(1):e33361."},{"issue":"5","key":"bib4","series-title":"Int J Environ Res Public Health","first-page":"2690","article-title":"Isolated hypoglossal nerve palsy as an early symptom of a granular cell tumor","volume":"19","author":"Lemound","year":"2022","unstructured":"Lemound JPapadimas DSkodda STannapfel AAlekseyev AKunkel M.Isolated hypoglossal nerve palsy as an early symptom of a granular cell tumor. Int J Environ Res Public Health. 2022;19(5):2690."},{"issue":"16","key":"bib5","series-title":"Neurology","first-page":"e1639","article-title":"Teaching NeuroImage: isolated unilateral hypoglossal nerve palsy due to skull base meningioma","volume":"97","author":"Coenen","year":"2021","unstructured":"Coenen JCleaver JJames RChohan G.Teaching NeuroImage: isolated unilateral hypoglossal nerve palsy due to skull base meningioma. Neurology. 2021;97(16):e1639-e1640."},{"issue":"6","key":"bib6","series-title":"Eur Radiol","first-page":"939","article-title":"Hypoglossal nerve palsy in nasopharyngeal carcinoma","volume":"8","author":"Chong","year":"1998","unstructured":"Chong VFFan YF.Hypoglossal nerve palsy in nasopharyngeal carcinoma. Eur Radiol. 1998;8(6):939-945."},{"issue":"5","key":"bib7","series-title":"J Am Assoc Nurse Pract","first-page":"354","article-title":"Burkitt lymphoma presenting with fever of unknown origin and isolated hypoglossal nerve palsy","volume":"32","author":"Seneca","year":"2020","unstructured":"Seneca KHNahass RGAdler RH.Burkitt lymphoma presenting with fever of unknown origin and isolated hypoglossal nerve palsy. J Am Assoc Nurse Pract. 2020;32(5):354-356."},{"key":"bib8","series-title":"Int J Surg Case Rep","first-page":"102","article-title":"Diagnostic pitfall: adenoid cystic carcinoma of the tongue presenting as an isolated hypoglossal nerve palsy, case report and literature review","volume":"25","author":"Wee","year":"2016","unstructured":"Wee HEAzhar RTang PYDiagnostic pitfall: adenoid cystic carcinoma of the tongue presenting as an isolated hypoglossal nerve palsy, case report and literature review. Int J Surg Case Rep. 2016;25:102-105."},{"key":"bib9","series-title":"Clin Exp Neurol","first-page":"213","article-title":"Isolated unilateral hypoglossal nerve palsy due to a chondroid chordoma","volume":"23","author":"Millingen","year":"1987","unstructured":"Millingen KPrentice M.Isolated unilateral hypoglossal nerve palsy due to a chondroid chordoma. Clin Exp Neurol. 1987;23:213-217."},{"issue":"5","key":"bib10","series-title":"Neurol Sci","first-page":"971","article-title":"Unilateral isolated hypoglossal neuropathy associated to jugular paraganglioma","volume":"39","author":"Martinez-Dubarbie","year":"2018","unstructured":"Martinez-Dubarbie FHerrera-Calvo GDrake-P\u00e9rez MRiancho J.Unilateral isolated hypoglossal neuropathy associated to jugular paraganglioma. Neurol Sci. 2018;39(5):971-972."},{"issue":"4","key":"bib11","series-title":"Br J Rheumatol","first-page":"317","article-title":"Bilateral hypoglossal nerve palsy due to vertical subluxation of the odontoid process in rheumatoid arthritis","volume":"27","author":"Macedo","year":"1988","unstructured":"Macedo TFGow PJHeap SWWallis WE.Bilateral hypoglossal nerve palsy due to vertical subluxation of the odontoid process in rheumatoid arthritis. Br J Rheumatol. 1988;27(4):317-320."},{"issue":"5","key":"bib12","series-title":"Joint Bone Spine","first-page":"547","article-title":"Hypoglossal nerve palsy secondary to cervical spine involvement in rheumatoid arthritis: clinical and radiological features","volume":"76","author":"Zeina","year":"2009","unstructured":"Zeina ARNachtigal AAvshovich NRosner IRozenbaum M.Hypoglossal nerve palsy secondary to cervical spine involvement in rheumatoid arthritis: clinical and radiological features. Joint Bone Spine. 2009;76(5):547-549."},{"issue":"3","key":"bib13","series-title":"J Neurosurg","first-page":"372","article-title":"Synovial cyst of spinal facet. Case report","volume":"41","author":"Kao","year":"1974","unstructured":"Kao CCWinkler SSTurner JH.Synovial cyst of spinal facet. Case report. J Neurosurg. 1974;41(3):372-376."},{"issue":"3","key":"bib14","series-title":"Neurosurgery","first-page":"415","article-title":"Lumbar synovial or ganglion cysts","volume":"19","author":"Kjerulf","year":"1986","unstructured":"Kjerulf TDTerry DWJrBoubelik RJ.Lumbar synovial or ganglion cysts. Neurosurgery. 1986;19(3):415-420."},{"issue":"14","key":"bib15","series-title":"J Neurosurg Case Lessons","first-page":"CASE2226","article-title":"Acute development of spinal lumbar synovial facet cyst within 1 week after lumbar decompression: illustrative case","volume":"3","author":"Sarmiento","year":"2022","unstructured":"Sarmiento JMFourman MSLovecchio FLyons KWFarmer JC.Acute development of spinal lumbar synovial facet cyst within 1 week after lumbar decompression: illustrative case. J Neurosurg Case Lessons. 2022;3(14):CASE2226."},{"issue":"6","key":"bib16","series-title":"Arch Neurol","first-page":"561","article-title":"Twelfth-nerve palsy: analysis of 100 cases","volume":"53","author":"Keane","year":"1996","unstructured":"Keane JR.Twelfth-nerve palsy: analysis of 100 cases. Arch Neurol. 1996;53(6):561-566."},{"issue":"6","key":"bib17","series-title":"Muscle Nerve","first-page":"1050","article-title":"Hypoglossal nerve palsy: 245 cases","volume":"54","author":"Stino","year":"2016","unstructured":"Stino AMSmith BETemkit MReddy SN.Hypoglossal nerve palsy: 245 cases. Muscle Nerve. 2016;54(6):1050-1054."},{"issue":"5","key":"bib18","series-title":"Radiographics","first-page":"939","article-title":"Hypoglossal nerve palsy: a segmental approach","volume":"14","author":"Thompson","year":"1994","unstructured":"Thompson EOSmoker WR.Hypoglossal nerve palsy: a segmental approach. Radiographics. 1994;14(5):939-958."},{"issue":"3","key":"bib19","series-title":"Neurochirurgie","first-page":"129","article-title":"Spontaneous regression of a symptomatic atlanto-occipital joint cyst. Case report","volume":"57","author":"H\u00e9naux","year":"2011","unstructured":"H\u00e9naux PLHamlat ARiffaud LGu\u00e9gan YMorandi X.Spontaneous regression of a symptomatic atlanto-occipital joint cyst. Case report. Neurochirurgie. 2011;57(3):129-132."},{"issue":"4","key":"bib20","series-title":"J Clin Neurosci","first-page":"492","article-title":"Isolated unilateral hypoglossal nerve paralysis caused by an atlanto-occipital joint synovial cyst","volume":"10","author":"Mujic","year":"2003","unstructured":"Mujic AHunn ALiddell JTaylor BHavlat MBeasley T.Isolated unilateral hypoglossal nerve paralysis caused by an atlanto-occipital joint synovial cyst. J Clin Neurosci. 2003;10(4):492-495."},{"key":"bib21","series-title":"World Neurosurg","first-page":"434","article-title":"Atlantooccipital synovial cyst with isolated hypoglossal nerve palsy: case report of nonfusion surgical approach and review of literature","volume":"126","author":"Gassie","year":"2019","unstructured":"Gassie KGrewal SChen SG.Atlantooccipital synovial cyst with isolated hypoglossal nerve palsy: case report of nonfusion surgical approach and review of literature. World Neurosurg. 2019;126:434-438."},{"issue":"6","key":"bib22","series-title":"Cureus","first-page":"e15951","article-title":"Unusual stroke-like symptoms in a patient with generalized osteoarthritis","volume":"13","author":"Medvec","year":"2021","unstructured":"Medvec ARShrestha SSchroeder LL.Unusual stroke-like symptoms in a patient with generalized osteoarthritis. Cureus. 2021;13(6):e15951."},{"issue":"5","key":"bib23","series-title":"J Neurosurg","first-page":"920","article-title":"Endoscope-assisted microsurgical resection of an intraneural ganglion cyst of the hypoglossal nerve","volume":"103","author":"Baldauf","year":"2005","unstructured":"Baldauf JJunghans DSchroeder HWS.Endoscope-assisted microsurgical resection of an intraneural ganglion cyst of the hypoglossal nerve. J Neurosurg. 2005;103(5):920-922."},{"issue":"3","key":"bib24","series-title":"J Neurosurg Spine","first-page":"234","article-title":"Isolated unilateral hypoglossal nerve palsy secondary to an atlantooccipital joint juxtafacet synovial cyst","volume":"10","author":"Elhammady","year":"2009","unstructured":"Elhammady MSFarhat HAziz-Sultan MAMorcos JJ.Isolated unilateral hypoglossal nerve palsy secondary to an atlantooccipital joint juxtafacet synovial cyst. J Neurosurg Spine. 2009;10(3):234-239."},{"issue":"4","key":"bib25","series-title":"Neurocirugia (Astur)","first-page":"322","article-title":"Isolated hypoglossal nerve palsy secondary to an atlantoccipital joint synovial cyst. Case report and literature review","volume":"21","author":"Sant\u00edn-Amo","year":"2010","unstructured":"Sant\u00edn-Amo JMCastro-Bouzas DPrieto-Gonz\u00e1lez AIsolated hypoglossal nerve palsy secondary to an atlantoccipital joint synovial cyst. Case report and literature review. Neurocirugia (Astur). 2010;21(4):322-325."},{"issue":"4","key":"bib26","series-title":"J Neurol Neurosurg Psychiatry","first-page":"376","article-title":"Neurological picture. Isolated hypoglossal nerve palsy caused by synovial cyst","volume":"82","author":"Hewett","year":"2011","unstructured":"Hewett RMStewart GE.Neurological picture. Isolated hypoglossal nerve palsy caused by synovial cyst. J Neurol Neurosurg Psychiatry. 2011;82(4):376-377."},{"issue":"2","key":"bib27","series-title":"Rev Neurol","first-page":"87","article-title":"Isolated paralysis of the hypoglossal nerve due to atlanto-occipital joint cysts","volume":"69","author":"Flores-Justa","year":"2019","unstructured":"Flores-Justa ASantin-Amo JMSesar AIsolated paralysis of the hypoglossal nerve due to atlanto-occipital joint cysts. Rev Neurol. 2019;69(2):87-88."},{"issue":"1","key":"bib28","series-title":"Case Rep Plast Surg Hand Surg","first-page":"131","article-title":"A rare cause of unilateral hypoglossal nerve palsy: case report of intraneural ganglion cyst of the hypoglossal nerve and review of the literature","volume":"6","author":"Oliver","year":"2019","unstructured":"Oliver JDForte AJ.A rare cause of unilateral hypoglossal nerve palsy: case report of intraneural ganglion cyst of the hypoglossal nerve and review of the literature. Case Rep Plast Surg Hand Surg. 2019;6(1):131-135."},{"issue":"1","key":"bib29","series-title":"Neurol India","first-page":"162","article-title":"Isolated 12th cranial nerve palsy due to skull base synovial cyst","volume":"72","author":"Renuji","year":"2024","unstructured":"Renuji BArif MNadarajah JBalagopal KPanattil JG.Isolated 12th cranial nerve palsy due to skull base synovial cyst. Neurol India. 2024;72(1):162-164."},{"issue":"1","key":"bib30","series-title":"J Neurol Surg Rep","first-page":"e180","article-title":"Case report: intraneural intracanalicular ganglion cyst of the hypoglossal nerve treated by extradural transcondylar approach","volume":"76","author":"Bilgin-Freiert","year":"2015","unstructured":"Bilgin-Freiert AFugleholm KPoulsgaard L.Case report: intraneural intracanalicular ganglion cyst of the hypoglossal nerve treated by extradural transcondylar approach. J Neurol Surg Rep. 2015;76(1):e180-e182."},{"issue":"8","key":"bib31","series-title":"J Clin Neurosci","first-page":"1114","article-title":"An intraneural ganglion cyst causing unilateral hypoglossal nerve palsy","volume":"18","author":"Gambhir","year":"2011","unstructured":"Gambhir SMujic AHunn A.An intraneural ganglion cyst causing unilateral hypoglossal nerve palsy. J Clin Neurosci. 2011;18(8):1114-1115."},{"issue":"2","key":"bib32","series-title":"J Neurosurg","first-page":"380","article-title":"Unilateral hypoglossal nerve palsy caused by an intraneural ganglion cyst","volume":"113","author":"Nonaka","year":"2010","unstructured":"Nonaka YGrossi PMFilomena CAFriedman AHFukushima T.Unilateral hypoglossal nerve palsy caused by an intraneural ganglion cyst. J Neurosurg. 2010;113(2):380-383."},{"issue":"4","key":"bib33","series-title":"Can J Neurol Sci","first-page":"560","article-title":"Hypoglossal canal cyst causing unilateral XII nerve palsy","volume":"48","author":"Wilton-Clark","year":"2021","unstructured":"Wilton-Clark MSMacIsaac RCamara-Lemarroy CR.Hypoglossal canal cyst causing unilateral XII nerve palsy. Can J Neurol Sci. 2021;48(4):560-561."},{"issue":"3","key":"bib34","series-title":"J Clin Neurosci","first-page":"472","article-title":"Intradural extraneural bilobate ganglion cyst of the atlanto-occipital joint compressing the hypoglossal nerve","volume":"19","author":"Giordano","year":"2012","unstructured":"Giordano MGerganov VMSamii ASamii M.Intradural extraneural bilobate ganglion cyst of the atlanto-occipital joint compressing the hypoglossal nerve. J Clin Neurosci. 2012;19(3):472-473."}],"container-title":["Journal of Neurosurgery: Case Lessons"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/9\/12\/article-CASE24776.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/9\/12\/article-CASE24776.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/9\/12\/article-CASE24776.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T23:38:58Z","timestamp":1770075538000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/9\/12\/article-CASE24776.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,24]]},"references-count":68,"journal-issue":{"issue":"12"},"URL":"https:\/\/doi.org\/10.3171\/case24776","relation":{},"ISSN":["2694-1902"],"issn-type":[{"value":"2694-1902","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,24]]}}}