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Lower cranial nerve palsies due to internal carotid dissection.
Author(s) -
W. Waespe,
J Niesper,
Hans-Georg Imhof,
Anton Valavanis
Publication year - 1988
Publication title -
stroke
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.397
H-Index - 319
eISSN - 1524-4628
pISSN - 0039-2499
DOI - 10.1161/01.str.19.12.1561
Subject(s) - medicine , jugular foramen , cranial nerves , internal carotid artery , dissection (medical) , aneurysm , surgery , dysphagia , hypoglossal nerve , vertebral artery , paralysis , radiology , magnetic resonance imaging , skull , tongue , pathology
A 41-year-old man experienced intense headache and neck pain, bruits, and a complete unilateral cranial nerve palsy IX-XII (Collet-Sicard syndrome) after a trivial back trauma. Magnetic resonance imaging and angiography demonstrated features of bilateral internal carotid artery dissection with aneurysm formation at the base of the skull compressing the nerves at the level of the jugular foramen. Severe dysphagia persisted for 1 month but rapidly improved after occlusion of the carotid aneurysm with a detachable balloon.

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