[Isolated cranial nerve palsy secondary to carotid dissection].
Cranial nerve palsy has a variety of causes such as cerebral ischemia, nerve ischemia in diabetes, infectious and noninfectious meningitis, subarachnoid hemorrhage, malignant tumors of the skull base, neck, or upper mediastinum, aortic aneurysm, surgery of the thyroid,and many more. We report two cases of spontaneous carotid dissections leading to cranial nerve palsies, which is an uncommon cause of isolated cranial nerve palsies.ICA dissection must therefore be included in the differential diagnosis of lower cranial nerve palsy and should be assessed by duplex ultrasound and MRI as is demonstrated in our cases.
Wessels
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T
Zentrum für Neurologie und Neurochirurgie,Klinik für Neurologie,Universitätsklinikum Giessen (UKG). tiwmo.wessels@gmx.net
Spitzer
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Sparing
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Klötzsch
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C
D000328:Adult; D002343:Carotid Artery, Internal / Q000473:pathology; D020215:Carotid Artery, Internal, Dissection / Q000150:complications* / Q000175:diagnosis; D003389:Cranial Nerve Diseases / Q000175:diagnosis / Q000209:etiology*; D003680:Deglutition Disorders / Q000175:diagnosis / Q000209:etiology; D003937:Diagnosis, Differential; D038524:Diffusion Magnetic Resonance Imaging; D004292:Dominance, Cerebral / Q000502:physiology; D005500:Follow-Up Studies; D006429:Hemiplegia / Q000175:diagnosis / Q000209:etiology; D006801:Humans; D020437:Hypoglossal Nerve Diseases / Q000175:diagnosis / Q000209:etiology; D008297:Male; D009460:Neurologic Examination; D018615:Ultrasonography, Doppler, Color; D017585:Ultrasonography, Doppler, Transcranial; D014826:Vocal Cord Paralysis / Q000175:diagnosis / Q000209:etiology