Spontaneous internal carotid artery dissection presenting as hypoglossal nerve palsy.

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چکیده

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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...

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Isolated 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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Internal carotid artery dissection and pseudoaneurysm formation with resultant ipsilateral hypoglossal nerve palsy

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...

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Spontaneous carotid dissection with hypoglossal nerve palsy as residual deficit: the importance of magnetic resonance evaluation.

Dr. Marcio Luiz Escorio Bezerra – Rua Dr. Diogo de Faria 671 / 106 04037-002 São Paulo SP Brasil. E-mail: [email protected] Spontaneous dissection of the carotid artery was once considered uncommon, but nowadays neuroimaging progress has lead to an increased recognition of the pathology. It is an important cause of stroke in young patients, representing 10 to 25% of the cases. Most patients...

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Isolated oculomotor nerve palsy in spontaneous internal carotid artery dissection: case report.

UNLABELLED Partial oculosympathetic palsy followed by ischemic manifestations in brain or retina are the main symptoms of extracranial internal carotid artery (ICA) dissection. Unusually, cranial nerves may be affected. Isolated oculomotor nerve palsy is found only rarely. CASE We present a 50-year-old nondiabetic man who experienced acute onset of right occipital headache which spread to the...

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ژورنال

عنوان ژورنال: Stroke

سال: 1988

ISSN: 0039-2499,1524-4628

DOI: 10.1161/01.str.19.9.1151