Hypoglossal nerve palsy due to carotid artery dissection: an uncommon presentation of a common problem

Michael T. Jurkiewicz, Joel M. Stein, Kim O. Learned, Ilya M. Nasrallah, Laurie A. Loevner

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

Spontaneous internal carotid artery dissection occurs in patients of all ages, rarely presenting with hypoglossal nerve palsy. The characteristic imaging findings of internal carotid artery dissection and tongue denervation are reviewed in four patients. Recognition of internal carotid artery dissection is critical for appropriate treatment and to minimise the risk of thromboembolic–ischaemic complications. Radiologists must be aware of the radiological appearance of hypoglossal nerve palsy and maintain a high index of suspicion for internal carotid artery dissection when this finding is present.

Original languageEnglish (US)
Pages (from-to)123-126
Number of pages4
JournalNeuroradiology Journal
Volume32
Issue number2
DOIs
StatePublished - Apr 1 2019
Externally publishedYes

Keywords

  • CT
  • Internal carotid artery dissection
  • MRI
  • hypoglossal nerve palsy
  • vascular imaging

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Clinical Neurology

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