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As benign nerve sheat tumors, schwannomas are located mostly in the head and neck region, but rarely originate from the hypoglossal nerve. A woman aged 53 years presented with non-progressive dysarthria and unilateral tongue atrophy, which she had had for 2 years. Neurologic examination revealed left-sided, isolated hypoglossal nerve palsy. Chronic axonal neuropathy of the left hypoglossal nerve was seen in electromyographic (EMG) study. With cranial magnetic resonance (MR) imaging, a massdoi:10.5152/nsn.2018.9674 fatcat:axg52fbg5fhjdpj56frwbja7ri