Spontaneous internal carotid artery dissection presenting as hypoglossal nerve palsy

Graham J. Lieschke, Stephen Davis, Brian M. Tress, Peter R Ebeling

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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.

Original languageEnglish
Pages (from-to)1151-1155
Number of pages5
Issue number9
Publication statusPublished - 1988
Externally publishedYes


  • Carotid artery diseases
  • Hypoglossal nerve
  • Magnetic resonance imaging

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