A Case of Internal Carotid Artery Dissection Presenting with Isolated Hypoglossal Nerve Palsy.
- Author:
Hyun BANG
1
;
Sun Uck KWON
;
Jae Young KOH
;
Ji Yeon RYU
;
Jong Sung KIM
Author Information
1. Department of Neurology, Asan Medical Center, College of Medicine, University of Ulsan.
- Publication Type:Case Report
- Keywords:
Carotid artery-internal-dissection;
Hypoglossal nerve diseases;
Dissecting aneurysm
- MeSH:
Amaurosis Fugax;
Aneurysm, Dissecting;
Arteries;
Brain Ischemia;
Carotid Artery, Internal*;
Carotid Artery, Internal, Dissection*;
Cranial Nerve Diseases;
Dysarthria;
Hematoma;
Humans;
Hypoglossal Nerve Diseases*;
Hypoglossal Nerve*;
Middle Aged;
Neurologic Manifestations;
Paresis;
Tongue
- From:Journal of the Korean Neurological Association
2000;18(3):359-361
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Neurological manifestations of internal carotid aretry (ICA) dissection include amaurosis fugax, cerebral ischemia, oculosympathetic paresis, and various cranial nerve palsies. Isolated hypoglossal nerve palsy is a rare manifestation of ICA dissection. A 55-year-old man developed dysarthria following sudden pain in the left retroauricular area. His tongue was paralysed on the left side. Magnetic resonance image and carotid angiogram showed characteristic features of left ICA dissection, which may be the most plausible cause of hypoglossal nerve palsy in this patient. Expanding hematoma of dissecting aneurysm of ICA seems to have compressed the nutrient artery of the hypoglossal nerve, although the possibility of direct compression of the hypoglossal nerve itself is not completely ruled out.
