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Stroke, Vol 19, 1151-1155, Copyright © 1988 by American Heart Association

ARTICLES

Spontaneous internal carotid artery dissection presenting as hypoglossal nerve palsy

GJ Lieschke, S Davis, BM Tress and P Ebeling
Medical Registrar, Royal Melbourne Hospital, Parkville, Victoria, Australia.

A 42-year-old man presented with right temporal headache, dysarthria, and dysphagia. On examination, he had a right hypoglossal nerve palsy. The diagnosis of right internal carotid artery dissection was suggested by magnetic resonance imaging and confirmed by carotid angiography. A dynamic computed tomogram demonstrated enlargement of the carotid artery. In carotid dissection, the hypoglossal nerve may be compromised by local factors as it passes close to the carotid artery in the neck.

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