Bilateral Hypoglossal Nerve Palsy in a Patient with Breast Cancer

Abstract

We describe a case of a 64-year-old woman who presented with isolated bilateral hypoglossal nerve palsy. After an extensive workup including an unremarkable Computed Tomography (CT) scan, she was found to have skull base metastasis from breast cancer on thin-slice Magnetic Resonance Imaging (MRI). This is the first reported case of isolated bilateral hypoglossal nerve palsy and demonstrates that thin-slice MRI provides.