To cite: Naik VD, Shah JV. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2014-209122 DESCRIPTION We report a case of a 17-year-old girl who presented, 1 month after being attacked in a chain snatching incident, with neck trauma, and reports of dysarthria and left-sided facial weakness. The patient neglected initial symptoms of headache and left-sided neck pain,...

The internal carotid artery (ICA) usually, lies posterolaterally to the external carotid artery (ECA). Sometimes a complete carotid transposition can occur, with the ECA in a lateral position and the ICA on the medial side can occur. Our study evaluated the significance and impact that this anomaly may have on cranial nerve injuries. From January 2008 to November 2010, 296 patients underwent 36...

PURPOSE In treating schwannoma patients, it is critical to determine the origin of the tumor to preserve nerve function. We evaluated the validity of preoperative imaging studies in distinguishing the neurological origin of the schwannomas of the head and neck, and the efficacy of intracapsular enucleation in preserving nerve function. MATERIALS AND METHODS In 7 cases of schwannomas in the he...

vertebrobasilar insufficiency is the cause of cerebrovascular accidents in 20% of cases. there are few reports regarding spectral doppler indices (sdis) of vertebral arteries (vas) normal blood flow. the objective of this study was to provide basic reference data about sdis of vas normal blood flow separately and in comparison with internal carotid arteries (icas) and common carotid arteries (c...

OBJECTIVES To evaluate the patients treated for carotid body tumors and the problems encountered during diagnosis and treatment. PATIENTS AND METHODS The study included eight patients (5 females, 3 males; mean age 50 years; range 36 to 68 years) who underwent surgery for carotid body tumors. Diagnosis was confirmed by power Doppler ultrasonography and computed tomography or magnetic resonance...

Background Progressive visual loss after coil embolization of a large internal carotid ophthalmic aneurysm has been widely reported. It is generally accepted that the primary strategy for this complication should be conservative, including steroid therapy; however, it is not well known as to what approach to take when the conservative therapy is not effective. Case Presentation We report a case...

The author reports on the case of a 60-year-old woman who presented with recurrent left sixth cranial nerve palsy. The patient was initially hospitalized to rule out an aneurysm of the internal carotid artery. Angiography revealed segmental dilation of the internal carotid artery and a persistent primitive trigeminal artery (PPTA) that coursed through the dorsolateral cavernous sinus, opening i...

An unusual case of peripheral hypoglossal nerve palsy, caused by lateral position of the external carotid artery and an abnormally high carotid bifurcation is reported. Improvement followed ligation and cutting of the external carotid artery at its origin.

Neurofibromatosis type 1 (NF1) is associated with systemic vascular disease, and it can also affect intracranial vasculature in a small percentage of patients. Very rarely, NF1 may co-present with hypoplasia of the internal carotid artery (ICA). Prior reports have documented NF1 with bilateral optic gliomas and a unilateral hypoplastic internal carotid artery; however, we report a case with the...

OBJECTIVES To report a case of paraganglioma arising from the hypoglossal nerve and review the anatomy, clinical features, and literature to date. STUDY DESIGN Case report and review of the literature. METHODS Case records including paper and electronic chart and imaging reports were reviewed and summarized for the index case. A literature search was performed using pubmed keywords paragang...