Left internal carotid artery dissection presenting with headache, Collet-Sicard syndrome and sustained hypertension.
The baroreflex maintains blood pressure through the glossopharyngeal (IX) cranial nerve. We report a 54-year-old man who developed a left sided headache, hoarseness, dysarthria, dysphagia, and sustained hypertension from a left internal carotid artery dissection. We hypothesise that interruption of the left IX nerve caused hypertension in this patient.
Walker
S
S
Department of Neurology, Royal Victoria Hospital, Belfast, UK.
McCarron
M O
MO
Flynn
P A
PA
Watt
M
M
D000328:Adult; D017704:Baroreflex / Q000502:physiology; D001794:Blood Pressure / Q000502:physiology; D020215:Carotid Artery, Internal, Dissection / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology*; D003389:Cranial Nerve Diseases / Q000503:physiopathology*; D005930:Glossopharyngeal Nerve / Q000503:physiopathology; D006261:Headache / Q000209:etiology*; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000503:physiopathology*; D018810:Magnetic Resonance Angiography; D008297:Male; D013577:Syndrome