Bilateral Internal Carotid Artery Aneurysms at the Subpetrosal Portion with Unilateral Lower Cranial Nerve Palsies: Review and Consideration of Surgical Strategy

2017 ◽  
Vol 26 (4) ◽  
pp. e55-e59
Author(s):  
Kei Noguchi ◽  
Takachika Aoki ◽  
Rokudai Sakamoto ◽  
Kimihiko Orito ◽  
Yasuharu Takeuchi ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Cranial Nerve ◽  
Internal Carotid ◽  
Surgical Strategy ◽  
Lower Cranial Nerve ◽  
Cranial Nerve Palsies

scholarly journals Internal Carotid Artery dissection presenting as Isolated Hypoglossal nerve palsy

2009 ◽  
Vol 8 (1) ◽  
pp. 22-25
Author(s):  
Amir Ahmad ◽  
◽  
Amir Ahmad ◽  
Philip Travis ◽  
Mark Doran ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Cranial Nerve ◽  
Nerve Palsy ◽  
Internal Carotid ◽  
Cranial Nerves ◽  
Carotid Artery Dissection ◽  
Artery Dissection ◽  
Internal Carotid Artery Dissection ◽  
Cranial Nerve Palsies

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.

Internal carotid artery aneurysm in skull base osteomyelitis: does the pattern of cranial nerve involvement matter?

2018 ◽  
Vol 132 (10) ◽  
pp. 929-931
Author(s):  
F Hassannia ◽  
S D Carr ◽  
E Yu ◽  
J A Rutka
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Skull Base ◽  
Cranial Nerve ◽  
Internal Carotid ◽  
Artery Aneurysm ◽  
Lower Cranial Nerve ◽  
Skull Base Osteomyelitis ◽  
Carotid Artery Aneurysm ◽  
Nerve Involvement

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.

scholarly journals Multiple Cranial Nerve Palsies in a Patient with Internal Carotid Artery Dissection

2007 ◽  
Vol 58 (2) ◽  
pp. 125-127 ◽  
Author(s):  
Alessia Mattioni ◽  
Maurizio Paciaroni ◽  
Paola Sarchielli ◽  
Donatella Murasecco ◽  
Gian Piero Pelliccioli ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Cranial Nerve ◽  
Internal Carotid ◽  
Carotid Artery Dissection ◽  
Artery Dissection ◽  
Internal Carotid Artery Dissection ◽  
Cranial Nerve Palsies ◽  
Multiple Cranial Nerve

scholarly journals Spontaneous Internal Carotid Artery Dissection with Lower Cranial Nerve Palsy

2001 ◽  
Vol 28 (3) ◽  
pp. 265-269 ◽  
Author(s):  
N. Guy ◽  
D. Deffond ◽  
N. Carriere ◽  
G. Dordain ◽  
P. Clavelou ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Cranial Nerve ◽  
Cranial Nerve Palsy ◽  
Nerve Palsy ◽  
Internal Carotid ◽  
Horner’S Syndrome ◽  
Horner's Syndrome ◽  
Lower Cranial Nerve ◽  
Lower Cranial Nerve Palsy

Background:Typical presentation of spontaneous internal carotid artery (ICA) dissection is an ipsilateral pain in neck and face with Horner's syndrome and contralateral deficits. Although rare, lower cranial nerve palsy have been reported in association with an ipsilateral spontaneous ICA dissection.Case studies:We report three new cases of ICA dissection with lower cranial nerve palsies.Results:The first symtom to appear was headache in all three patients. Examination disclosed a Horner's syndrome in two cases (1 and 2), an isolated XIIth nerve palsy in two patients (case 1 and 3) and IX, X, and XIIth nerve palsies (case 2) revealing an ipsilateral carotid dissection, confirmed by MRI and angiography. In all cases, prognosis was good after a few weeks.Conclusion:These cases, analysed with those in the literature, led us to discuss two possible mechanisms: direct compression of cranial nerves by a subadventitial haematoma in the parapharyngeal space or ischemic palsy by compression of the ascending pharyngeal artery.

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