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Unusual Manifestations of Bilateral Carotid Artery Dissection: Dysphagia and Hoarseness

Dysphagia volume 25, pages 338–340 (2010)Cite this article

Abstract

Dissection of the carotid artery can occur intracranially or extracranially, although dissections tend to affect extracranial segments of the arteries much more commonly than intracranial segments. Carotid artery dissection (CAD) is most common in middle-aged women. Although not completely known, the main risk factors related to carotid artery dissection are genetic and environmental factors, traumatic events, cervical manipulation, migraine, recent infections, hyperhomocysteinemia, and hereditary connective tissue disorders. Although some cases of bilateral internal CAD have been reported, spontaneous bilateral dissections are rare. Prolonged hoarseness is usually due to using the voice either too much, too loudly, or improperly over an extended period of time. Disorders leading to dysphagia may affect the oral, pharyngeal, or esophageal phases of swallowing. In this study we report on a patient with bilateral CAD who presented to our clinic with dysphagia and hoarseness.

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Author notes

  1. Huseyin Isildak

    Present address: Communication Sciences and Disorders, Missouri State University, 901 South National Avenue, Springfield, MO, 65897, USA

Authors and Affiliations

  1. Otolaryngology Department, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey

    Huseyin Isildak, Emin Karaman, Ahmet Ozdogan, Metin Ibrahimov & Mehmet Yilmaz

Authors
  1. Huseyin Isildak
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  2. Emin Karaman
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  3. Ahmet Ozdogan
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  4. Metin Ibrahimov
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  5. Mehmet Yilmaz
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Correspondence to Huseyin Isildak.

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Isildak, H., Karaman, E., Ozdogan, A. et al. Unusual Manifestations of Bilateral Carotid Artery Dissection: Dysphagia and Hoarseness. Dysphagia 25, 338–340 (2010). https://doi.org/10.1007/s00455-010-9273-5

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  • DOI: https://doi.org/10.1007/s00455-010-9273-5

Keywords

  • Bilateral carotid artery dissection
  • Dysphagia
  • Hoarseness
  • Subpetrous segment aneurysm
  • Lower cranial nerves palsies
  • Deglutition
  • Deglutition disorders