[Unilateral paralysis of the lower cranial nerves caused by lesion of the internal carotid artery].
We report two cases of unilateral, isolated lower cranial nerves (IX, X, XI and XII) palsy: both were due to a lesion of the internal carotid artery in the para-pharyngeal space (a dissection and a pseudoaneurysm). The diagnosis was based upon magnetic resonance imaging and selective angiography. The normality of the external carotid artery on angiography led to the hypothesis of a direct compression of the lower cranial nerves in the para-pharyngeal space, rather than an ischemia of these nerves.
De Broucker
T
T
Service de Neurologie, Hôpital Delafontaine, Saint-Denis.
Lacombe
H
H
Danziger
N
N
Baril
P
P
Sangla
S
S
D002340:Carotid Artery Diseases / Q000150:complications*; D002343:Carotid Artery, Internal; D003389:Cranial Nerve Diseases / Q000209:etiology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010243:Paralysis / Q000209:etiology*
Paralysie unilatérale des derniers nerfs crâniens par lésion de l'artère carotide interne.