Overview
Unilateral tongue atrophy refers to the localized wasting and thinning of one side of the tongue, often observed clinically and potentially indicative of underlying neurological, muscular, or systemic conditions 1.Diagnosis
Clinical examination noting asymmetry and atrophy
Neurological assessment to evaluate motor function and cranial nerves 1
Imaging studies (MRI, CT) may be considered to rule out structural causes 1
Electromyography (EMG) to assess muscle function and innervation 1Management
Address underlying cause (e.g., neurological disorders, malignancies)
Speech and language therapy to manage functional impacts 1
Symptomatic treatment for associated symptoms (e.g., pain management) 1Special Populations
No specific details provided for pregnancy, pediatrics, or elderly populations 1
Comorbidities should be managed according to their specific treatment guidelines 1Key Recommendations
Conduct a thorough neurological evaluation to identify potential underlying causes of unilateral tongue atrophy (Evidence: Expert opinion) 1
Consider imaging studies to exclude structural abnormalities contributing to the atrophy (Evidence: Expert opinion) 1
Tailor management to address the specific underlying condition identified, incorporating supportive therapies as needed (Evidence: Expert opinion) 1References
1 Midstokke S, Hess SJ, Saini T, Edwards PC. Unilateral tongue atrophy. General dentistry 2006. link