Hypoglossal nerve paresis caused by spontaneous dissection of kinked internal carotid artery--case report.
A 54-year-old male presented with pure hypoglossal nerve paresis. Angiography and magnetic resonance (MR) imaging showed the characteristic findings of left internal carotid artery (ICA) dissection. He received aspirin and his symptoms gradually disappeared. Repeat angiography and MR imaging showed that the lesion had completely disappeared. This case supports the hypothesis that hypoglossal nerve paresis is due to nerve stretching and compression by intramural hematoma of the dissected ipsilateral ICA, and severe tortuosity of the ICA may be a related phenomenon.
Mizumaki
Y
Y
Department of Neurosurgery, Toyama Medical and Pharmaceutical University.
Endo
S
S
Yamatani
K
K
Takaku
A
A
Tsukamoto
E
E
D000784:Aortic Dissection / Q000150:complications*; D001241:Aspirin / Q000627:therapeutic use; D002343:Carotid Artery, Internal / Q000473:pathology*; D003389:Cranial Nerve Diseases / Q000209:etiology* / Q000473:pathology; D004401:Dysarthria / Q000209:etiology; D006261:Headache / Q000209:etiology; D006406:Hematoma / Q000188:drug therapy / Q000209:etiology; D006801:Humans; D007002:Hypoglossal Nerve; D008297:Male; D008875:Middle Aged; D009408:Nerve Compression Syndromes / Q000209:etiology* / Q000473:pathology; D010291:Paresis / Q000209:etiology*; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use
D010975:Platelet Aggregation Inhibitors; D001241:Aspirin