Spontaneous bilateral carotid and vertebral artery dissection presenting as a Collet-Sicard syndrome.
Spontaneous dissection of the internal carotid arteries usually presents with unilateral headache, neck pain, focal ipsilateral cerebral ischaemic symptoms and a Horner's syndrome. Lower cranial nerve palsies are only rarely observed. We report a case of carotid and vertebral dissections presenting as a unilateral palsy of the ninth to twelfth cranial nerves (Collet-Sicard syndrome).
Rees
J H
JH
National Hospital for Neurology and Neurosurgery, Queen Square, London, UK.
Valentine
A R
AR
Llewelyn
J G
JG
D000010:Abducens Nerve; D000328:Adult; D000784:Aortic Dissection / Q000150:complications* / Q000000981:diagnostic imaging; D017541:Aneurysm, False / Q000150:complications* / Q000000981:diagnostic imaging; D002340:Carotid Artery Diseases / Q000150:complications* / Q000000981:diagnostic imaging; D003389:Cranial Nerve Diseases / Q000209:etiology; D005154:Facial Nerve; D006801:Humans; D008297:Male; D011859:Radiography; D014276:Trigeminal Nerve; D014321:Trochlear Nerve; D014711:Vertebral Artery / Q000000981:diagnostic imaging