title: [Spontaneous internal carotid artery dissection with paralysis of lower cranial nerves: case report].
abstract: Spontaneous internal carotid artery dissection is a rare event that strikes patients at their productive age. As early intervention frequently determines a significant improvement, it is important to broaden the knowledge of the clinical, pathogenic and pathophysiological aspects of this disease. The objective is making an early diagnosis and treatment to avoid a bad outcome. We report the case of a 46 years-old man with spontaneous carotid artery dissection that had an atypical manifestation characterized by sudden paralysis of lower cranial nerves.
authors.affiliation: Departamento de Neurologia, Faculdade de Medicina, Universidade Federal do Espírito Santo, Vitória, ES, Brasil.
authors.forename: Vera L F
authors.initials: VL
authors.lastname: Vieira
authors.forename: Daniel C
authors.initials: DC
authors.lastname: Pereira
authors.forename: Vinícius T
authors.initials: VT
authors.lastname: Ribeiro
authors.forename: Alex B C
authors.initials: AB
authors.lastname: Leite
authors.forename: Iran
authors.initials: I
authors.lastname: Emerique
mesh_terms: D000784:Aortic Dissection / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D002340:Carotid Artery Diseases / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D002343:Carotid Artery, Internal; D003389:Cranial Nerve Diseases / Q000209:etiology* / Q000628:therapy; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D008875:Middle Aged; D010243:Paralysis / Q000209:etiology* / Q000628:therapy; D016896:Treatment Outcome