Stroke, Vol 19, 1561-1564, Copyright © 1988 by American Heart Association
W Waespe, J Niesper, HG Imhof and A Valavanis
A 41-year-old man experienced intense headache and neck pain, bruits, and a
complete unilateral cranial nerve palsy IX-XII (Collet-Sicard syndrome)
after a trivial back trauma. Magnetic resonance imaging and angiography
demonstrated features of bilateral internal carotid artery dissection with
aneurysm formation at the base of the skull compressing the nerves at the
level of the jugular foramen. Severe dysphagia persisted for 1 month but
rapidly improved after occlusion of the carotid aneurysm with a detachable
balloon.
ARTICLES
Lower cranial nerve palsies due to internal carotid dissection
Department of Neurology, University Hospital, Zurich, Switzerland.
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J. Srinivasan, D. W. Newell, M. Sturzenegger, M. R. Mayberg, and H.R. Winn Transcranial Doppler in the Evaluation of Internal Carotid Artery Dissection Stroke, July 1, 1996; 27(7): 1226 - 1230. [Abstract] [Full Text] |
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