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Unilateral spontaneous dissection of the internal carotid artery presenting as hypoglossal nerve palsy

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Abstract

A rare case of an isolated unilateral hypoglossal nerve palsy in a 61-year-old man is reported. Imaging showed a dissection of the extracranial internal carotid artery. The expansion of the circumference of the artery causes compression of the hypoglossal nerve resulting in a palsy. To the best of our knowledge this disorder has twice been dealt with in the otorhinolaryngological literature.

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References

  1. Bogousslavsky J, Regli F (1987) Ischemic stroke in adults younger than 30 years of age. Cause and prognosis. Arch Neurol 44:479–482

    CAS  PubMed  Google Scholar 

  2. Chong VFH, Fan YF (1998) Hypoglossal nerve palsy in nasopharyngeal carcinoma. Eur Radiol 8:939–945

    Article  CAS  PubMed  Google Scholar 

  3. Hart RG, Easton JD (1983) Dissections of cervical and cerebral arteries. Neurol Clin 1:155–182

    CAS  PubMed  Google Scholar 

  4. Keane JR (1996) Twelfth nerve palsy. Arch Neurol 53:561–566

    CAS  PubMed  Google Scholar 

  5. Mokri B, Sundt TM, Houser OW, Piepgras DG (1986) Spontaneous dissection of the cervical internal carotid artery. Ann Neurol 19:126–138

    CAS  PubMed  Google Scholar 

  6. Mokri B, Silbert PL, Schievink WI, Piepgras DG (1996) Cranial nerve palsy in spontaneous dissection of the extracranial internal carotid artery. Neurology 46:356–359

    CAS  PubMed  Google Scholar 

  7. Nusbaum AO, Som PM, Dubois P, Silvers AR (1998) Isolated vagal nerve palsy associated with a dissection of the extracranial internal carotid artery. Am J Neuroradiol 19:1845–1847

    CAS  PubMed  Google Scholar 

  8. Rossi P, Mirallie E, PiHaluga P, Chailou P, Patra P (1997) Bilateral extracranial aneurysm of the internal carotid artery—A case report. J Cardiovasc Surg 38:27–31

    CAS  Google Scholar 

  9. Schievink WI, Mokri B, Whisnant JP (1993) Internal carotid artery dissection in a community. Rochester, Minnesota, 1987–1992. Stroke 24:1678–1680

    CAS  PubMed  Google Scholar 

  10. Schievink WI, Prakash U, Piepgras D, Mokri B (1994) Alpha 1-antitrypsin deficiency in intracranial aneurysms and cervical artery dissection. Lancet 343:452–453

    CAS  PubMed  Google Scholar 

  11. Shahab R, Savy LE, Croft CB, Hung T (2001) Isolated hypoglossal nerve palsy due to internal carotid artery dissection. J Laryngol Otol 115:587–589

    Article  CAS  PubMed  Google Scholar 

  12. Sturzenegger M, Huber P (1993) Cranial nerve palsies in spontaneous carotid artery dissection. J Neurol Neurosurg Psychiatry 56:1191–1199

    CAS  PubMed  Google Scholar 

  13. Thompson EO, Smoker WRK (1994) Hypoglossal nerve palsy: a segmental approach. Radiographics 14:939–958

    CAS  PubMed  Google Scholar 

  14. Usekar MA, Singhal BS, Konin BL (2000) Hypoglossal nerve palsy due to spontaneous dissection of the internal carotid artery. Clin Radiol 55:978–979

    Article  PubMed  Google Scholar 

  15. Verdalle P, Herve S, Kossowski M, Felten D, Courtois A, Garcia D (2001) Spontaneous dissection of the internal carotid artery in its extracranial portion, revealed by a hypoglossal paralysis: report of four cases. Ann Oto Rhino Laryngol 110:794–798

    CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Otorhinolaryngology and Head and Neck Surgery, University Hospital Maastricht, P. Debeyelaan 25, P.O.Box 5800, 6202 AZ , Maastricht, The Netherlands

    Harriët C. Hafkamp & Johannes J. Manni

  2. Department of Radiology, University Hospital Maastricht, Maastricht, The Netherlands

    Ann van der Goten

Authors
  1. Harriët C. Hafkamp
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  2. Ann van der Goten
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  3. Johannes J. Manni
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Correspondence to Harriët C. Hafkamp.

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Hafkamp, H.C., van der Goten, A. & Manni, J.J. Unilateral spontaneous dissection of the internal carotid artery presenting as hypoglossal nerve palsy. Eur Arch Otorhinolaryngol 261, 405–408 (2004). https://doi.org/10.1007/s00405-003-0696-6

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  • DOI: https://doi.org/10.1007/s00405-003-0696-6

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