Unilateral spontaneous dissection of the internal carotid artery presenting as hypoglossal nerve palsy.
A rare case of an isolated unilateral hypoglossal nerve palsy in a 61-year-old man is reported. Imaging showed a dissection of the extracranial internal carotid artery. The expansion of the circumference of the artery causes compression of the hypoglossal nerve resulting in a palsy. To the best of our knowledge this disorder has twice been dealt with in the otorhinolaryngological literature.
Department of Otorhinolaryngology and Head and Neck Surgery, University Hospital Maastricht, P. Debeyelaan 25, P.O.Box 5800, 6202 AZ, Maastricht, The Netherlands. hhaf@skno.azm.nl
Harriët C
HC
Hafkamp
Ann
A
Van Der Goten
Johannes J
JJ
Manni
D020215:Carotid Artery, Internal, Dissection / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D020437:Hypoglossal Nerve Diseases / Q000209:etiology*; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged