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Physiotherapy Management of Peripheral Unilateral Isolated Hypoglossal Nerve Palsy in a 53 Year Old Woman: A Case Report

Maduagwu Stanley M, Kaidal Amina, Aremu Bukuola J, Kodiya Aliyu M, Adetoyeje Y Oyeyemi, Adewale Oyeyemi L, Jaiyeola Olabode A and Mungonu Mustapha

Hypoglossal nerve palsy is not common in literature, especially its physiotherapy assessment and management. We described a case of a 53 year old woman who presented clinically with right sided atrophy of the tongue, ipsilateral deviation and fasciculation, a speech defect, inability to swallow solids, and difficulty in swallowing fluid as a result of one year history of hypoglossal nerve palsy after a traditional uvulectomy. She was fully assessed and received physiotherapy management in the form of electrical stimulation and a home programme in combination with spiritual therapy. After 11 weeks of treatment there was improvement in terms of her initial clinical presentation.