Hypoglossal nerve paresis caused by spontaneous dissection of kinked internal carotid artery--case report.

Abstract:

:A 54-year-old male presented with pure hypoglossal nerve paresis. Angiography and magnetic resonance (MR) imaging showed the characteristic findings of left internal carotid artery (ICA) dissection. He received aspirin and his symptoms gradually disappeared. Repeat angiography and MR imaging showed that the lesion had completely disappeared. This case supports the hypothesis that hypoglossal nerve paresis is due to nerve stretching and compression by intramural hematoma of the dissected ipsilateral ICA, and severe tortuosity of the ICA may be a related phenomenon.

authors

Mizumaki Y,Endo S,Yamatani K,Takaku A,Tsukamoto E

doi

10.2176/nmc.38.165

subject

Has Abstract

pub_date

1998-03-01 00:00:00

pages

165-7

issue

3

eissn

0470-8105

issn

1349-8029

journal_volume

38

pub_type

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