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(Stroke. 1972;3:576.)
© 1972 American Heart Association, Inc.

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The Hypoglossal Nerve in Carotid Arterial Reconstructions

Anthony M. Imparato M.D., F.A.C.S.¹; Aldo Bracco M.D.¹; Geun Eun Kim M.D.¹; Louis Bergmann M.D.²

¹ New York Medical College, New York University Medical School, 500 First Avenue, New York, New York 10016
² New York Medical College, New York University Medical School 550 First Avenue, New York, New York 10016

The importance of hypoglossal nerve in performing carotid arterial reconstructions has been illustrated by two case reports. Unilateral palsy is troublesome but bilateral damage may result in upper airway obstruction. Simple surgical maneuvers consisting of division of the sternocleidomastoid artery and vein and freeing up of the descendens hypoglossus permit nontraumatic retraction of the nerve, avoiding tongue paralysis.

Key Words: descendens hypoglossus • sternocleidomastoid artery and vein • carotid bifurcation plaques • internal carotid aneurysms • palsy

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