Internal carotid artery dissection presenting with ipsilateral tenth and twelfth nerve palsies and apparent mass lesion on MRI

We report the case of a 47-year-old man who presented with a few months' history of right-sided headache and dysphagia, with ipsilateral tenth and twelfth cranial nerve palsies on examination. The initial MRI showed an enhancing mass lesion in relation to the right carotid sheath and jugular fo...

Full description

Saved in:
Bibliographic Details
Published in:British journal of radiology 2005-07, Vol.78 (931), p.659-661
Main Authors: KNIBB, J, LENTHALL, R, BAJAJ, N
Format: Article
Language:English
Subjects:
Biological and medical sciences
Carotid Artery, Internal, Dissection - complications
Carotid Artery, Internal, Dissection - diagnosis
Carotid Body Tumor - diagnosis
Diagnosis, Differential
Humans
Hypoglossal Nerve Diseases - diagnosis
Hypoglossal Nerve Diseases - etiology
Magnetic Resonance Imaging
Male
Medical sciences
Middle Aged
Nervous system (semeiology, syndromes)
Nervous system as a whole
Neurology
Vagus Nerve Diseases - diagnosis
Vagus Nerve Diseases - etiology
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:We report the case of a 47-year-old man who presented with a few months' history of right-sided headache and dysphagia, with ipsilateral tenth and twelfth cranial nerve palsies on examination. The initial MRI showed an enhancing mass lesion in relation to the right carotid sheath and jugular foramen, and was reported as a possible paraganglioma. Subsequent angiography performed to assess tumour vascularity demonstrated a dissection involving a tonsillar loop of the right internal carotid artery (ICA). Imaging findings at MRI and angiography and the presentations and mechanisms of ICA dissection are briefly discussed.
ISSN:0007-1285
1748-880X
DOI:10.1259/bjr/57426025