Hypoglossal nerve neuritis

Medical records that document the extent of tongue motor dysfunction are central to showing where your condition falls on the rating scale. A VA or private examination that directly tests tongue movement, strength, and coordination can show whether loss of function is complete or incomplete, and whether incomplete loss is severe or moderate. Imaging, nerve conduction studies, or clinical notes describing the progression of your symptoms over time can also help establish severity. If your involvement is purely sensory with no motor loss, that points toward the lower end of the scale. Statements from you or people who observe you daily — describing how tongue weakness affects speaking, chewing, or swallowing — can help show functional impact. Records from speech-language pathologists or other treating providers who have assessed tongue function add objective detail that ties directly to the rating criteria.