[Paralysis of the hypoglossal nerve caused by 2 aneurysms and a dissecting aneurysm of the internal carotid artery].
Palsies of the lower cranial nerves caused by a compressive pathological carotid artery are not common. Three cases of paralysis of the hypoglossal nerve, hypoglossal and vagus, hypoglossal, glossopharyngeal and vagus nerves, are reported. In 2 patients the symptoms were related to an extracranial carotid artery aneurysm below the base of the skull and in 1 patient to a spontaneous carotid dissecting aneurysm. It is possible that some localized arterial dissecting aneurysms evolve to a localized aneurysmal sac, especially if they are located between Cl and the base of the skull. The tongue paralysis disappeared in 2 patients.
D000328:Adult; D000783:Aneurysm / Q000150:complications*; D000784:Aortic Dissection / Q000150:complications; D002340:Carotid Artery Diseases / Q000150:complications*; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging; D003389:Cranial Nerve Diseases / Q000209:etiology; D005930:Glossopharyngeal Nerve; D006801:Humans; D007002:Hypoglossal Nerve; D008297:Male; D008875:Middle Aged; D009408:Nerve Compression Syndromes / Q000209:etiology*; D010243:Paralysis / Q000209:etiology*; D011859:Radiography; D014630:Vagus Nerve
Paralysies du nerf grand hypoglosse par deux anévrismes et un anévrisme disséquant de l'artère carotide interne.