Internal carotid artery dissection presenting as hypoglossal nerve palsy
نویسندگان
چکیده
منابع مشابه
Spontaneous internal carotid artery dissection presenting as hypoglossal nerve palsy.
A 42-year-old man presented with right temporal headache, dysarthria, and dysphagia. On examination, he had a right hypoglossal nerve palsy. The diagnosis of right internal carotid artery dissection was suggested by magnetic resonance imaging and confirmed by carotid angiography. A dynamic computed tomogram demonstrated enlargement of the carotid artery. In carotid dissection, the hypoglossal n...
متن کاملIsolated hypoglossal nerve palsy due to internal carotid artery dissection.
A case of an isolated hypoglossal nerve palsy is reported. The differential diagnosis is discussed, in the context of the requirement for careful scrutiny of the entire course of the hypoglossal nerve on imaging, to detect underlying pathology remote from the tongue, and to avoid unnecessary invasive diagnostic procedures prompted by the appearance of a 'pseudomass' of the weak tongue both clin...
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Craniocervical artery dissection is a potentially disabling condition caused by an intimal tear allowing blood to enter and dissect the media in the cranial direction which can occur spontaneously or as a result of trauma. When the dissection extends toward the adventitia, it can form a protrusion from the weakened vessel wall called a pseudoaneurysm, which may become a nidus for distal thrombo...
متن کاملIsolated unilateral hypoglossal nerve palsy due to vertebral artery dissection.
We report the case of a patient with unilateral tongue weakness secondary to an isolated lower motor neuron hypoglossal nerve palsy that was caused by a right vertebral artery dissection in the lower neck. The patient had a boggy tongue with a deviation to the right side but an otherwise normal neurological examination. Magnetic resonance angiography showed a narrow lumen of the right vertebral...
متن کاملTraumatic internal carotid artery dissection presenting as delayed hemilingual paresis.
A case of internal carotid artery dissection presenting as delayed right hemilingual paresis after blunt craniocervical trauma is presented. Diagnosis is discussed with emphasis on MR and MR angiographic findings. Mechanisms of injury and lower cranial nerve palsy are also briefly discussed.
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ژورنال
عنوان ژورنال: Otorhinolaryngology-Head and Neck Surgery
سال: 2020
ISSN: 2398-4937
DOI: 10.15761/ohns.1000256