Spontaneous Dissection of the Cervical Internal Carotid Artery: Presentation With Lower Cranial Nerve Palsies

1992 ◽  
Vol 118 (4) ◽  
pp. 431-435 ◽  
Author(s):  
B. Mokri ◽  
W. I. Schievink ◽  
K. D. Olsen ◽  
D. G. Piepgras
2009 ◽  
Vol 8 (1) ◽  
pp. 22-25
Author(s):  
Amir Ahmad ◽  
◽  
Amir Ahmad ◽  
Philip Travis ◽  
Mark Doran ◽  
...  

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.


1987 ◽  
Vol 148 (2) ◽  
pp. 393-398 ◽  
Author(s):  
GR Petro ◽  
GA Witwer ◽  
ED Cacayorin ◽  
CJ Hodge ◽  
CE Bredenberg ◽  
...  

2018 ◽  
Vol 132 (10) ◽  
pp. 929-931
Author(s):  
F Hassannia ◽  
S D Carr ◽  
E Yu ◽  
J A Rutka

AbstractObjectiveCarotid artery aneurysm is a potentially fatal complication of skull base osteomyelitis. It is important to know the warning signs for this complication, as early diagnosis is of great importance. This report aimed to determine whether the pattern of cranial nerve involvement may predict the occurrence of aneurysm involving the internal carotid artery in skull base osteomyelitis.MethodsTwo diabetic patients with skull base osteomyelitis were incidentally diagnosed with pseudo-aneurysm of the petrous internal carotid artery on follow-up magnetic resonance imaging. They presented with lower cranial nerve palsy; however, facial nerve function was almost preserved in both cases. Computed tomography angiography confirmed aneurysms at the junction of the horizontal and vertical segments of the petrous carotid artery.ResultsInternal carotid artery trapping was conducted using coil embolisation. Post-coiling magnetic resonance imaging demonstrated no procedure-related complications. Regular follow up has demonstrated that patients’ symptoms are improving.ConclusionOne should be mindful of this potentially fatal complication in skull base osteomyelitis patients with lower cranial nerve palsies, with or without facial nerve involvement, especially in the presence of intracranial thromboembolic events or Horner's syndrome.


Nosotchu ◽  
1990 ◽  
Vol 12 (3) ◽  
pp. 251-259
Author(s):  
Toshiaki Hamano ◽  
Katsuya Takatsuka ◽  
Yoh Nishimura ◽  
Nobuyoshi Yoshikawa ◽  
Takashi Komatsu

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