Idiopathic isolated unilateral hypoglossal nerve palsy is a rarely observed finding in clinical practice. Cases of persistent idiopathic isolated hypoglossal nerve palsy are extremely rare, one similar case documenting only one other documented case in the literature.
Cases of this finding in patients with epilepsy further make this clinical finding a very rare entity. The presenting case is a 22 year old who complains of deviation of the tongue to the left side upon protrusion and atrophy of the left side of the tongue. The patient was diagnosed with epilepsy at age 10 and had been successfully controlled with medication remaining seizure free for over 10 years.
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