[2 cases of vascular syndrome of the cranial nerves of ischemic origin].
The authors report the cases of two patients who had sudden unilateral alternating and regressive attacks of the cranial nerves. The first patient, a 63 year old diabetic woman, suffered regressive paralysis of the right third nerve, followed two months later by paresthesia of the same side of the face, accompanied by difficulty in swallowing and dysarthria. Six months later, she developed a right facial paralysis while pharyngeal and lingual involvement entirely disappeared. Right carotid angiography revealed stenosis of the middle meningeal artery. Nine months later she developed left-sided ophthalmoplegia followed by a homolateral facial paralysis. The second patient, a 24 year old woman, developed homolateral regressive attacks of the II, V, VII and VIIb, and VIII nerves during recovery from herpes zoster of the right geniculate ganglion. Doppler studies showed inversion of the flow in the right ophthalmic artery. The pathogenesis of these multiple paralyses of the cranial nerves is discussed, a possible cause being ischaemic attacks of the vascular territories of the cranial nerves.
Mrabet
A
A
Service de Neurologie, Institut National de Neurologie, Tunisie.
Jellouli
M
M
Touibi
S
S
Ben Hamida
M
M
D000328:Adult; D002545:Brain Ischemia / Q000150:complications*; D003389:Cranial Nerve Diseases / Q000209:etiology; D003391:Cranial Nerves / Q000098:blood supply*; D005158:Facial Paralysis / Q000209:etiology; D005260:Female; D006801:Humans; D008875:Middle Aged; D009886:Ophthalmoplegia / Q000209:etiology
Etude de deux cas de syndrome vasculaire des nerfs crâniens d'origine ischémique.