Cranial nerve palsies in spontaneous carotid artery dissection.

Lower cranial nerve palsies due to internal carotid dissection.

A 41-year-old man experienced intense headache and neck pain, bruits, and a complete unilateral cranial nerve palsy IX-XII (Collet-Sicard syndrome) after a trivial back trauma. Magnetic resonance imaging and angiography demonstrated features of bilateral internal carotid artery dissection with aneurysm formation at the base of the skull compressing the nerves at the level of the jugular foramen...

Spontaneous carotid cavernous fistula presenting only with cranial nerve palsies.

PURPOSE To discuss the differences in angiographic findings between cases of spontaneous carotid cavernous fistula with and without the classical triad of symptoms (pulsating exophthalmos, bruit, and conjunctival chemosis). METHODS With CT, MR, and angiography, we examined 12 cases of spontaneous carotid cavernous fistula, five of whom presented only with cranial nerve palsies. RESULTS In t...

Multiple cranial nerve palsies in a patient with internal carotid artery dissection.

nunciation of the letter ‘S’. The patient also described experiencing a severe dysgeusia without involvement of the motor part of cranial nerve VII and moderate right facial pain. A few days later, the patient had sudden transient (1-hour) rotatory vertigo associated with nausea and aggravated by head movements. At this time, i.e. 10 days after the first symptoms, the patient was admitted to ho...

Spontaneous carotid artery dissection.

Lower cranial nerve palsies.

A 70 year old diabetic male presented with a three weeks history of left temporal pain radiating to the left eye and left side of the neck without any symptoms relating to the ear or nose. Two days later, the patient developed difficulty in swallowing and speaking with nasal regurgitation of fluids. Clinical examination revealed bilateral palatal weakness (more marked on the left side), bilater...