Hypoglossal nerve palsy in infectious mononucleosis and Fusobacterium necrophorum tonsillitis: a case report and literature review.

Simone Scannapiecoro, Giuseppe Indolfi, Vincenzo Temperino, Sandra Trapani

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In one paragraph

Review in Italian journal of pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it

0cells of the map it votes in

1citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

Unilateral and Reversible Hypoglossal Nerve Palsy in Infectious Mononucleosis Syndromes: Two Rare Cases from Our Clinic.Viruses · 2026
Article

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Simone ScannapiecoroDepartment of Health Sciences, University of Florence, Florence, Italy. simone.scannapiecoro@unifi.it.ORCID http://orcid.org/0009-0001-3947-3580

Giuseppe IndolfiDepartment NEUROFARBA, University of Florence, Florence, Italy.

Vincenzo TemperinoDepartment of Health Sciences, University of Florence, Florence, Italy.

Sandra TrapaniDepartment of Health Sciences, University of Florence, Florence, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHypoglossal nerve palsy (HNP), although rare, can result from various causes and more commonly in children is secondary to infectious etiologies. Its optimal management requires accurate diagnosis and exclusion of severe complications like Lemierre's syndrome, vascular events, tumors, or demyelination/inflammatory processes). CASE PRESENTATION: A previously healthy 16-year-old boy was diagnosed with HNP, infectious mononucleosis and Fusobacterium necrophorum tonsillitis. The patient presented with fever, neck swelling, and swallowing difficulty, accompanied by left-side tongue deviation. Prompt treatment with clindamycin and prednisone led to rapid improvement of symptoms (within 5 days) and complete recovery after 4 weeks.

conclusionsThis case highlights the importance of considering uncommon neurological complications in patients with common diseases. An extensive literature review on HNP in childhood was conducted, summarizing the diverse etiologies, clinical presentations, diagnostic tests, and treatment approaches.

Indexed as

Fusobacterium InfectionsFusobacterium necrophorumHypoglossal Nerve DiseasesInfectious MononucleosisTonsillitisAdolescentHumansMaleCase reportFusobacterium necrophorum tonsillitisHypoglossal nerve palsyInfectious mononucleosis

Identifiers

PMID41053845

DOI10.1186/s13052-025-01905-z

PMCPMC12502495

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