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(Stroke. 1999;30:681-686.)
© 1999 American Heart Association, Inc.

Case Report

Facial Diplegia Complicating a Bilateral Internal Carotid Artery Dissection

O. Gout, MD; I. Bonnaud, MD; A. Weill, MD; A. Moulignier, MD; J. J. Quenet, MD; J. Moret, MD P. Bakouche, MD

From the Departments of Neurology (O.G., I.B., A.M., J.J.Q., P.B.) and Interventional Neuroradiology (A.W., J.M.), Fondation Ophtalmologique A. de Rothschild, Paris, France.

Correspondence and reprint requests to Dr Olivier Gout, Department of Neurology, Fondation Ophtalmologique A. de Rothschild, 25-27 rue Manin, 75019 Paris, France. E-mail ogout{at}fo-rothschild.fr

Background and Purpose—We report a case of facial diplegia complicating a bilateral internal carotid artery dissection.

Case Description—A 49-year-old patient presented with unilateral headache and oculosympathetic paresis. Cerebral angiography revealed a bilateral internal carotid artery dissection. A few days later, the patient developed a facial diplegia that regressed after arterial recanalization. An arterial anatomic variation may explain this ischemic complication of carotid dissection.

Conclusions—Double carotid dissection should be included among the causes of bilateral seventh nerve palsy.

Key Words: carotid artery dissection • cerebral blood flow • facial paralysis

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