Lower cranial nerve palsy during radiotherapy for glottic cancer in a patient with Wegener's granulomatosis: An interesting case report

The authors present a novel case of skeletal dysplasia in a 2.8-year-old girl. The patient presented with progressive lower cranial nerve palsy and myelopathy due to constriction at the cervicomedullary junction caused by overgrowth of the occipital bone of the foramen magnum and the C-1. She also had prominent bone overgrowth of the superior orbital ridges, resulting in excessive stretching of periorbital skin and an inability to fully close her eyes.

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Delayed lower cranial nerve palsy (Collet–Sicard syndrome) after head injury

Injury Extra ◽

10.1016/j.injury.2005.09.019 ◽

2006 ◽

Vol 37 (3) ◽

pp. 104-108

Author(s):

Masayasu Kato ◽

Yoshitaka Tanaka ◽

Izumi Toyoda ◽

Shinji Ogura ◽

Shinichi Yoshimura ◽

...

Keyword(s):

Head Injury ◽

Cranial Nerve ◽

Cranial Nerve Palsy ◽

Nerve Palsy ◽

Lower Cranial Nerve ◽

Lower Cranial Nerve Palsy

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Lower cranial nerve palsy produced by internal carotid artery dilatation. Report of two cases

The Italian Journal of Neurological Sciences ◽

10.1007/bf02335742 ◽

1987 ◽

Vol 8 (4) ◽

pp. 375-379 ◽

Cited By ~ 5

Author(s):

G. P. Anzola ◽

G. F. Gualandi ◽

A. Orlandini ◽

V. Scipione

Keyword(s):

Carotid Artery ◽

Internal Carotid Artery ◽

Cranial Nerve ◽

Cranial Nerve Palsy ◽

Nerve Palsy ◽

Internal Carotid ◽

Lower Cranial Nerve ◽

Lower Cranial Nerve Palsy

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Spontaneous Internal Carotid Artery Dissection with Lower Cranial Nerve Palsy

Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques ◽

10.1017/s031716710000144x ◽

2001 ◽

Vol 28 (3) ◽

pp. 265-269 ◽

Cited By ~ 18

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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