A case of bilateral internal carotid artery dissection in young adult with cranial nerve IX and X palsies. Issue 3 (22nd April 2018)

• Record Type: Journal Article
• Authors: Sasaki, Ryo; Yamashita, Toru; Takahashi, Yoshiaki; Shang, Jingwei; Sato, Kota; Takemoto, Mami; Hishikawa, Nozomi; Ohta, Yasuyuki; Abe, Koji
• Is Part Of: Neurology and clinical neuroscience. Volume 6:Issue 3(2018:May)
• Page Start: 80
• Page End: 82
• Publication Date: 2018-04-22
• Subjects: bilateral ICA dissection -- brain infarction -- cerebrovascular disease -- cranial nerve palsy -- headache; Neurology -- Periodicals; Neurosciences -- Periodicals; 616.8
• DOI: 10.1111/ncn3.12187
• Languages: English
• ISSNs: 2049-4173

Abstract

Abstract: Internal carotid artery (ICA) dissection is a major cause of cerebral infarction in young adult and usually presents cervical pain and headache, but rarely presents cranial nerve palsy. Here, we report a case of rare bilateral ICA dissections in young adult with cranial nerve IX and X palsies as initial symptom. He presented dysarthria and nasal voice at an early stage, followed by a small brain infarction. The cranial nerve palsy was improved in parallel with the improvement of ICA stenosis and dilatation. It is important to know that cranial nerve palsy can be one of the symptoms of ICA dissection for appropriate treatment.