J Korean Neurol Assoc.  2000 May;18(3):359-361.

A Case of Internal Carotid Artery Dissection Presenting with Isolated Hypoglossal Nerve Palsy

• Bang H
• Kwon SU
• Koh JY
• Ryu JY
• Kim JS

Abstract

Neurological manifestations of internal carotid aretry (ICA) dissection include amaurosis fugax, cerebral ischemia, oculosympathetic paresis, and various cranial nerve palsies. Isolated hypoglossal nerve palsy is a rare manifestation of ICA dissection. A 55-year-old man developed dysarthria following sudden pain in the left retroauricular area. His tongue was paralysed on the left side. Magnetic resonance image and carotid angiogram showed characteristic features of left ICA dissection, which may be the most plausible cause of hypoglossal nerve palsy in this patient. Expanding hematoma of dissecting aneurysm of ICA seems to have compressed the nutrient artery of the hypoglossal nerve, although the possibility of direct compression of the hypoglossal nerve itself is not completely ruled out.

Keyword

Carotid artery-internal-dissection; Hypoglossal nerve diseases; Dissecting aneurysm

MeSH Terms

Amaurosis Fugax
Aneurysm, Dissecting
Arteries
Brain Ischemia
Carotid Artery, Internal*
Carotid Artery, Internal, Dissection*
Cranial Nerve Diseases
Dysarthria
Hematoma
Humans
Hypoglossal Nerve Diseases*
Hypoglossal Nerve*
Middle Aged
Neurologic Manifestations
Paresis
Tongue