[Aneurysm of the internal carotid artery--a differential diagnosis of paralysis of the caudal cranial nerves].
Paralysis of the caudal cranial nerves, e. g. the nervus glossopharyngeus, vagus and accessorius, may cause disorders in swallowing and speaking leading to a reduction in the patient's quality of life. Glomus tumors or malignant lesions of the skull base are a frequent cause of such lesions. We report on the case of a 48 year old patient who presented an acute lesion of these cranial nerves in combination with paresis of the nervus hypoglossus as a result of an aneurysm of the internal carotid artery directly underneath the base of the skull. The aneurysm was treated by parent vessel occlusion. The results of this procedure were a shrinkage of the aneurysm and an improvement in the neurological symptoms.
Koscielny
S
S
Klinik und Poliklinik für Hals-Nasen-Ohren-Krankheiten, Friedrich-Schiller-Universität Jena. Sven.Koscielny@med.uni-jena.de
Koch
J
J
Behrendt
W
W
D002340:Carotid Artery Diseases / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D003389:Cranial Nerve Diseases / Q000175:diagnosis* / Q000209:etiology*; D003937:Diagnosis, Differential; D005918:Glomus Tumor / Q000150:complications / Q000175:diagnosis; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010243:Paralysis / Q000175:diagnosis* / Q000209:etiology*; D011859:Radiography; D019292:Skull Base Neoplasms / Q000150:complications / Q000175:diagnosis
Aneurysma der A. carotis interna. Die besondere Differenzialdiagnose einer Parese der kaudalen Hirnnerven.