What is a Hypoglossal Nerve Test?
The hypoglossal nerve is a motor nerve originating in the brain stem and innervates the tongue muscles. It is the twelfth cranial nerve, providing most of the motor supply to the tongue. It arises from a nucleus in the brain stem known as the hypoglossal nucleus. Then it passes through a series of foramina and fissures before it reaches its final destination at the tongue.
This nerve's main job is to control movements of the tongue, which are necessary for functions like speech, swallowing, and sucking. The hypoglossal nerve also plays a vital role in maintaining balance by helping position and move the head, neck, and eyes. Damage to this nerve can lead to problems with tongue movement, affecting speaking abilities and eating and drinking functions.
Healthcare professionals may use a to check the function of the hypoglossal nerve. During this exam, a healthcare professional will ask the patient to stick out their tongue and move it from side to side, up and down, or in circles. If the patient has difficulty performing the requested movements, this suggests that the nerve may be damaged.
Note that this assessment is not considered an official diagnosis but is used by healthcare professionals to see if further testing may be necessary. Providers may then refer the patient for additional evaluation if any nerve damage is suspected. Depending on the severity of the nerve issue, surgery or physical therapy may be recommended as a form of treatment.
Check out this video on how to perform the Hypoglossal Nerve Test:











