Abstract
Internal carotid dissection most commonly presents as headache, focal neurological deficits or stroke. Rarely it can manifest itself by causing a palsy of the lower cranial nerves (IX, X, XI, XII). The reported incidence of isolated cranial nerve palsies is rare. We report a case of an internal carotid artery dissection manifesting as isolated XII (hypoglossal) cranial nerve palsy.
[download-attachments container="div" style="list" dipslay_icon="1" display_count="1" display__size="0"]
References
- Arnold M, Bousser MG. Carotid and vertebral artery dissection. Practical neurology 2005; 5: 100–109.
- Sturzenegger M, Huber P. Cranial nerve palsies in spontaneous carotid artery dissection. J Neurol Neurosurg Psychiatry 1993; 56(11): 1191–9.
- Olzowy B, Lorenzi S, Guerkov R. Bilateral and Unilateral Carotid Artery dissection causing Isolated Hypoglossal nerve palsy. Eur Arch Otorhinolaryngol 2006; 263: 390–393.
- Mokri B, Silbert P, Schievink WI. Cranial nerve palsy in spontaneous dissection of the extracranial internal carotid artery. Neurology 1996; 46: 356–359.
- Lyrer P, Engelter S. Antithrombotic drugs for carotid artery dissection. Stroke 2004; 35: 613–4.
- Menon R, Kerry S, Norris JW, Markus HS. Treatment of cervical artery dissection: a systematic review and meta-analysis. J Neurol Neurosurg Psychiatry 2009; 79: 1122–1127.
- National Collaborating Centre for Chronic Conditions. Stroke: national clinical guideline for diagnosis and initial management of acute stroke and transient ischaemic attack (TIA). London: Royal College of Physicians, 2009. http://www.nice.org.uk/Guidance/CG68/Guidance/pdf/English.
- Wouter I, Schievink, Mokri B, et al. Recurrent Spontaneous CervicalArtery Dissection. NEJM 1994; 330: 393-397.
- Zohrzbian D. Carotid artery dissection. www.emedicine.com; Nov 2006.
