The hypoglossal nerve in carotid arterial reconstructions.
نویسندگان
چکیده
The Hypoglossal Nerve in Carotid A rterial Reconstructions • The importance of hypoglossal nerve in performing carotid arterial reconstructions has been illustrated by two case reports. Unilateral palsy is troublesome but bilateral damage may result in upper airway obstruction. Simple surgical maneuvers consisting of division of the sternocleidomastoid artery and vein and freeing up of the descendens hypoglossus permit nontraumatic retraction of the nerve, avoiding tongue paralysis. Additional
منابع مشابه
Intermittent occlusion of internal carotid artery by hypoglossal nerve.
A 51-year-old man experienced the onset of positionally dependent neurologic changes . When he turned his head to the left and extended his neck for longer than 3 sec he became dizzy and experienced a sensation of "numbness" over his right body, including his face. This was accompanied by loss of motor control of the right body. He had some blurring of vision during these episodes but no loss o...
متن کاملSpontaneous 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 کاملCombined endarterectomy of the internal carotid artery and persistent hypoglossal artery: an unusual case of carotid revascularization.
Persistence of the hypoglossal artery is an unusual congenital abnormality of the carotid arterial system, and the simultaneous occurrence of atheromatous disease in the internal carotid artery and persistent hypoglossal artery is even more uncommon. Carotid surgery in this situation is challenging, and the surgeon must be aware of potential inherent pitfalls. A 74-year-old woman with asymptoma...
متن کاملBilateral hypoglossal nerve injury after bilateral carotid endarterectomy.
A case of severe bilateral injury to the hypoglossal nerves after two-stage carotid endarterectomy is described. Injury to the hypoglossal nerve occurs in up to 20% of patients undergoing carotid endarterectomy and may result in mild or unnoticed deficits. These injuries must be carefully searched for in patients who will undergo a similar procedure on the opposite side since a bilateral defici...
متن کاملA rare anatomical variant of ansa cervicalis: case report
AbsractA rare variant of ansa cervicalis was discovered during dissection of the neck in amale cadaver. The superior root of the Ansa cervicalis was formed by the C1 ventralramus. It accompanied with the vagus nerve in place of the hypoglossal nerve and descendedinto the carotid sheath with it. Moreover the C1 ventral ramus formed fromthe sheath and joined the inferior root from C2 and C3 ventr...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Stroke
دوره 3 5 شماره
صفحات -
تاریخ انتشار 1972