Hypoglossal nerve palsy as an isolated syndrome of internal carotid artery dissection: A review of the literature and a case report

2018 ◽  
Vol 52 (6) ◽  
pp. 731-735 ◽  
Author(s):  
Martyna Mes ◽  
Piotr Palczewski ◽  
Piotr Szczudlik ◽  
Anna Łusakowska ◽  
Edyta Maj ◽  
...  
Keyword(s):  
Case Report ◽  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Nerve Palsy ◽  
Internal Carotid ◽  
Hypoglossal Nerve ◽  
Carotid Artery Dissection ◽  
Artery Dissection ◽  
Internal Carotid Artery Dissection ◽  
Review Of The Literature

scholarly journals Isolated hypoglossal nerve palsy from internal carotid artery dissection related to PKD-1 gene mutation

BMC Neurology ◽  
2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Zhaoyao Chen ◽  
Jun Yuan ◽  
Hui Li ◽  
Cuiping Yuan ◽  
Kailin Yin ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Nerve Palsy ◽  
Internal Carotid ◽  
Hypoglossal Nerve ◽  
Carotid Artery Dissection ◽  
Artery Dissection ◽  
Internal Carotid Artery Dissection ◽  
Hypoglossal Nerve Palsy ◽  
High Resolution Mri

Abstract Background Internal carotid artery dissection has been well recognized as a major cause of ischaemic stroke in young and middle-aged adults. However, internal carotid artery dissection induced hypoglossal nerve palsy has been seldom reported and may be difficult to diagnose in time for treatment; even angiography sometimes misses potential dissection, especially when obvious lumen geometry changing is absent. Case presentation We report a 42-year-old man who presented with isolated hypoglossal nerve palsy. High-resolution MRI showed the aetiological dissected internal carotid artery. In addition, a potential genetic structural defect of the arterial wall was suggested due to an exon region mutation in the polycystic-kidney-disease type 1 gene. Conclusions Hypoglossal nerve palsy is a rare manifestations of carotid dissection. High-resolution MRI may provide useful information about the vascular wall to assist in the diagnosis of dissection. High-throughput sequencing might be useful to identify potential cerebrovascular-related gene mutation, especially in young individuals with an undetermined aetiology.

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