Hypoglossal schwannoma

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  • A longstanding T2-hyperintense lesion caused widening of the hypoglossal canal.
  • The right hemitongue was T1-hyperintense due to fatty chronic denervation changes.

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  • 50-year-old patient presented with tongue weakness and right hemitongue atrophy.
  • MRI showed an avidly enhancing lesion expanding the right hypoglossal canal extending down to the level of C2.