[Unilateral caudal cranial nerve paralysis in extracranial carotid dissection].
Focal cerebral ischemic symptoms, Horner's syndrome and mostly ipsilateral headache are the characteristic clinical triad of extracranial carotid artery dissection. Lower cranial nerve palsies seem to be uncommon and rare. By means of two cases with identical clinical symptoms and of a literature review we make clear, that ipsilateral lower cranial nerve palsies, especially a hypoglossal nerve palsy, are not uncommon. Without focal cerebral ischemic symptoms they can be the only sign of extracranial carotid artery dissection. Computed tomography of the skull base with regard to the high cervical internal carotid artery is as an usually quickly available examination an alternative to magnetic resonance imaging.
Koch
J
J
Klinik für Neurologie und Neurophysiologie, Städt. Klinikum Fulda.
Klotz
J M
JM
Kahle
G
G
Langohr
H D
HD
D000784:Aortic Dissection / Q000000981:diagnostic imaging*; D002545:Brain Ischemia / Q000000981:diagnostic imaging; D002340:Carotid Artery Diseases / Q000000981:diagnostic imaging*; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging; D002533:Cerebral Angiography; D003389:Cranial Nerve Diseases / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009408:Nerve Compression Syndromes / Q000000981:diagnostic imaging; D010243:Paralysis / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed
Einseitige kaudale Hirnnervenlähmungen bei extrakraniellen Karotisdissektionen.